Internal Jugular Line Course

Central line placement is indicated in patients who need hemodynamic monitoring, rapid volume resuscitation, therapies such as vasopressors and hypertonic saline and in patients with difficult venous access.  The central line placement course will teach clinicians how to place central venous catheters in the subclavian, internal jugular and femoral veins 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.

Our internal jugular 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

Internal Jugular Line Placement Lab Photos

Central Line course

Internal Jugular Line Video

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
  • Internal jugular venous catheter troubleshooting
  • 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  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

Management of Pleural Infections

Complicated parapneumonic effusions frequently represent pleural space infections. Approximately 1 in 7 cases of pneumonia have an associated parapneumonic effusion (PPE) on chest x-ray. Most of these effusions are small and usually resolve spontaneously with prompt antibiotic administration. However, moderate-to-large…
Read More

Summary of Difficult Airway Management in COVID-19 Patients

The Society of Airway Management recently issued guidelines for Difficult Airway Management in COVID-19 patients.  The SARS CoV-2 (COVID-19) virus is extremely contagious via respiratory droplets and therefore extra precautions are needed for airway management in severe COVID-19 infection.  Airway…
Read More

Video laryngoscopy has a superior first pass success rate compared with direct laryngoscopy in the ICU

Video laryngoscopy is superior to direct laryngoscopy for emergency intubations in the ICU. A recent meta-analysis based on nine trials evaluated 2,133 ICU patients and concluded that video laryngoscopy (VL) has a higher first pass success rate compared to direct…
Read More
Lumbar Puncture CME

Incidence of Spinal Hematoma from Lumbar Punctures in Patients with a Coagulopathy or Thrombocytopenia

A recent cohort study using the Danish nationwide medical registry demonstrates that the incidence of a spinal or epidural hematoma from lumbar punctures in patients with pre-existing thrombocytopenia (Platelets<150 K) or coagulopathy (INR>1.4 or aPTT>39 seconds) is not significantly higher…
Read More

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