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Ultrasound Guided CVP Line Placement:Going for the Jugular - Part 2
Christian Butcher, M.D.Alexander Levitov, M.D.Carilion ClinicRoanoke, Virginia
 
Position of guidewire inrelation to neck anatomyMake a small skin stabat wire insertion site.Note control of guidewirewith both hands
IJ Insertion Method
 
Dilate.If awake, tellthe patient “you’re goingto feel some pressure.”Advance the catheter over thewire.
NEVER let go of the wire
.Grab it when it comes outthe brown port
IJ Insertion Method
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