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J Emerg Med. 2013 Jan;44(1):150-4. doi: 10.1016/j.jemermed.2012.02.044. Epub 2012 May 11.

The ultrasound-guided "peripheral IJ": internal jugular vein catheterization using a standard intravenous catheter.

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  • 1Department of Emergency Medicine, Alameda County Medical Center-Highland Hospital, Oakland, California, USA.

Abstract

BACKGROUND:

Obtaining vascular access is difficult in certain patients. When routine peripheral venous catheterization is not possible, several alternatives may be considered, each with its own strengths and limitations.

DISCUSSION:

We describe a novel technique for establishing vascular access in Emergency Department (ED) patients: the placement of a standard catheter-over-needle device into the internal jugular vein using real-time ultrasound guidance. We present a series of patients for whom this procedure was performed after other attempts at vascular access were unsuccessful. In all cases, the procedure was performed quickly and without complications.

CONCLUSION:

Although further study of this technique is required, we believe this procedure may be a valuable option for ED patients requiring rapid vascular access.

Copyright © 2013 Elsevier Inc. All rights reserved.

PMID:
22579025
[PubMed - indexed for MEDLINE]
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