Videos in Clinical Medicine

Central Venous Catheterization

Alan S. Graham, M.D., Caroline Ozment, M.D., Ken Tegtmeyer, M.D., Susanna Lai, M.P.H., and Dana A.V. Braner, M.D.

N Engl J Med 2007; 356:e21May 24, 2007DOI: 10.1056/NEJMvcm055053

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About the Procedure

The placement of a central venous line is an essential technique in the treatment of many hospitalized patients. This video will demonstrate the placement of a central venous catheter in the internal jugular vein with the use of one of several variations of the Seldinger technique. An additional video on subclavian line placement will be forthcoming. We will demonstrate and review the regional anatomy of the neck, indications for the insertion of a central line, the recommended site and technique for placement of a line in the internal jugular vein, selected complications associated with the procedure, and suggestions for . . . .

No potential conflict of interest relevant to this article was reported.

References

References

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    Sang-Wook Shin, Ji-Uk Yoon, Hyeon-Jeong Lee, O-Sun Kwon, Hyun-Mok Kim. (2012) Central Venous Catheter Misplaced in the Innominate Vein after Penetrating the Left Subclavian Vein in a Neonate - A Case Report -. Korean Journal of Critical Care Medicine 27:1, 49

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    Kazuhide Matsushima, Heidi L. Frankel. (2011) Beyond focused assessment with sonography for trauma. Current Opinion in Critical Care 17:6, 606-612

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    Peter L. Thompson, Bradley M. Power, Mark J. Lennon. Vascular access and ultrasound guidance techniques. In: Coronary Care Manual. Elsevier, 2011:348-362.

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    Lo Ying-Chih, Yu Tung-Min. (2010) DELAYED GREAT-VESSEL PERFORATION RELATED TO AN INDWELLING HAEMODIALYSIS CATHETER OVER THE LEFT INTERNAL JUGULAR VEIN. Nephrology 15:8, 780-780

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    Arthur C. Theodore, Kevin C. Wilson. (2010) An unseen danger: Frequency of posterior vessel wall penetration by needles during attempts to place internal jugular vein central catheters using ultrasound guidance. Critical Care Medicine 38:1, 345-346

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    Rebecca A. Schroeder, Atilio Barbeito, Shahar Bar-Yosef, Jonathan B. Mark. Cardiovascular Monitoring. In: Miller's Anesthesia. Elsevier, 2010:1267-1328.

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  15. 15

    Scott J. Millington, Roger Y. Wong, Barry O. Kassen, James M. Roberts, Irene W.Y. Ma. (2009) Improving internal medicine residents' performance, knowledge, and confidence in central venous catheterization using simulators. Journal of Hospital Medicine 4:7, 410-416

  16. 16

    Michael J. Kilbourne, Grant V. Bochicchio, Thomas Scalea, Yan Xiao. (2009) Avoiding Common Technical Errors in Subclavian Central Venous Catheter Placement. Journal of the American College of Surgeons 208:1, 104-109

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    B.A. Leidel, K.G. Kanz, W. Mutschler, C. Kirchhoff. (2008) Intraossäre Infusion beim Erwachsenen. Der Chirurg 79:4, 315-326

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