Internal Jugular Line Course

Central line placement is indicated in patients who need hemodynamic monitoring, rapid volume resuscitation, therapies such as vasopressors and vesicant or central parenteral nutrition infusions and in patients with difficult venous access.  The central line placement course will teach clinicians how to place central venous catheters (subclavian line placement, internal jugular line placement and femoral line placement) using advanced simulation manikins.  The course covers central venous access indications, contraindications, preparation, technique, complications and their management.  Techniques for triple lumen, cordis and hemodialysis catheters will be taught.  The course will cover both landmark-based central line placement and ultrasound-guided central line insertion. The course emphasizes ultrasound-guided vascular access

The HPC Hospitalist and Emergency Procedures course will teach you how to perform central line placement in addition to endotracheal intubation, stylet-guided intubations, laryngeal mask airway (LMA) placement, King tube placement, or fiberoptic intubationsultrasound-guided peripheral IV access, arterial lines, POCUS exams (RUSH exams and E-FAST exams), thoracentesis, paracentesis, lumbar punctures, chest tube placement, pigtail catheter placement, needle thoracostomy, procedural sedation, and ventilator management.

Our central line placement training is a component of our live Hospitalist and Emergency Procedures CME course which teaches clinicians how to perform the 20 most essential procedures needed to work in the ER, ICU, and hospital wards.

CLICK HERE to find out more about our premier live Hospitalist and Emergency Procedures CME course

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Internal Jugular Line Placement Course trains students in:

  • Indications for a internal jugular venous catheter placement
  • Contraindications for internal jugular venous catheter placement
  • Complications of a internal jugular venous catheter placement
  • Equipment for internal jugular venous catheter placement
  • Proper positioning and technique for internal jugular venous catheter placement
  • Coding for internal jugular venous catheter placement

Internal Jugular Line Placement Photos

Central Line Reference Card

More information about Internal Jugular Line Placement

An internal jugular line placement may need to be performed for a variety of medical conditions, or emergency procedures.  This can be a technically challenging procedure and in some cases the patient may be very ill or significantly injured.

Due to the jugular vein’s position adjacent to the carotid artery and several adjacent muscles, the internal jugular line placement must be performed with careful precision.  Complications arising from the procedure can result in carotid artery damage, haematoma, and pneumothorax in some rare cases, death.  As a result of the potential for serious damage to surrounding arteries and muscles, ultrasound is often used to assist in the placement of the internal jugular line.

Ultrasound vs. Landmark-based

In general, ultrasound guidance is preferred over the landmark-based technique.  Ultrasound guidance has increased internal jugular line placement success rates to over 90%.    Compilications arising from the procedure decreased by 57% when using ultrasound to locate the jugular vein as opposed to the landmark-based technique.  The most obvious reasons for the preference for ultrasound assisted IJ line placement included a higher success rate overall, higher first attempt success, shorter access time, lower chance of carotid artery puncture, and lower chance of hematoma.

Using the ultrasound based technique, imaging provides the hospitalist or emergency physician with the location of the jugular vein.  The landmark-based technique involves a physician or other qualified personnel determining the location of the jugular and best entry position according to its position relative to adjacent muscles, tissue, and arteries.

Why Internal Jugular Line Placement?

Internal placement has several proven benefits when compared to the peripheral IV placement.  The internal jugular approach is preferred when possible due to the vein’s significant rate of blood flow,  substantial size, relatively straight orientation, and small mal position rate.  The most obvious drawback to the internal jugular vein is its location near the carotid artery.  The internal jugular vein is the most typical choice for central access by anesthesiologists.

Don’t see what you’re looking for – Ask the Experts!

Internal jugular line placement has numerous applications for a variety of medical procedures.  If you have a question that isn’t answered on this page, or if you’re just interested in discussing the procedure in greater detail, then we encourage you to contact an HPC physician directly at www.Facebook.com/HospitalProcedures.  It is our goal to provide an expert online resource for your hospital procedures and emergency medicine queries.  We look forward to discussing!

Internal Jugular Line Placement Blogs

Maneuvers to Assess Fluid Responsiveness in Septic Shock or Vasodilatory Shock

Aggressive fluid administration is a hallmark of septic shock management and has been espoused by the Surviving Sepsis Campaign and is a part of the CMS SEP-1 sepsis bundle. The sepsis bundle includes administration of 30 ml/kg crystalloid bolus (LR…
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Do we really need to do a modified Allen’s Test before Radial Arterial Line Insertion?

It has long been Dogma that an abnormal modified Allen’s test is a contraindication to performing a radial arterial line in that arm.  The theory behind this is that the modified Allen’s test will identify patients who have insufficient collateral circulation…
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Dexmedetomidine and Propofol performed equally well for the sedation of mechanically ventilated patients with sepsis

The Society of Critical Care Medicine (SCCM) recommends that all mechanically ventilated patients receive analgesia, sedation, and delirium assessment and management while intubated. SCCM reinforced these principles in their 2018 clinical practice guideline on the prevention and management of pain,…
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Protocolized Sedation is Recommended Over Usual Care for Mechanical Ventilation

A systematic review and meta-analysis of randomized controlled trials was conducted to determine the effects of protocolized sedation in mechanically ventilated adult intensive care unit patients. Six randomized controlled trials and 1243 patients were studied. The results showed that protocolized…
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Review of chest tube drainage of the pleural space

This blog summarizes recommended management of chest tube drainage of the pleural space. The blog will cover the recommended size of chest tube for different indications, suggestions for chest tube insertion technique, methods to avoid chest tube complications and when…
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Hospitalist and Emergency Procedures CME Courses Available

Register HERE 21 days before the course to SAVE $50-150 and get the following:

  1. 12 month online access to Online CME course, procedure video bundle, instructional posters
  2. Indefinite online access to PDFs of all course lectures, course handouts, and HPC Adult Critical Care and Emergency Drug Reference Drug
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