Jugular vein

INFO TAB
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Transducer Type
Use a linear probe in the range of 7-13 MHz.

Scan to a depth of 2-4 cm.

Overview
The internal jugular vein begins at the clavicle, dividing from the
Subclavian vein and running along the side of the neck. There is
one on each side of the neck. The external jugular is much
smaller than the internal and is nearer to the surface of the skin.

Ultrasound to is used to aid in placement of central lines in the IJV

and subclavian vein. It aids in other invasive procedures when
central venous pressures need to be evaluated invasively.
Subject & Operator Positioning
The ultrasound operator should be standing or seated with the
ultrasound screen directly in front of them.

The patient should be supine.

Presets: Venous, Carotid

SURVEY TAB
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3d cutaway with appropriate Anatomy Identify what needs to be labeled on the 3D cutaway
anatomy labeled. here.

Internal Jugular Vein

External Jugular Vein
CCA
Thyroid
Clavicle
Subclavian vein
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The IJV vein is visualized with ultrasound in short and long axis
views. In short axis, the vein is mostly circular. The vein will
increase in size with a valsalva maneuver. 

(Kelly, this uses dots. We should show a pic of the N2-4 dots
here.)
Short Axis

Place the probe over N2 region with the indicator to the right.

The common carotid artery is circular and pulsating. The jugular

vein is on top or slightly to the right or left of the artery, larger and
mostly round.

While the probe is in short axis, have subject hold his breath and
bear down.  Watch the vein increase in size with the respiratory
force.  The paired artery remains pulsatile and will not respond to
respiratory maneuvers.

Long Axis

Start with the probe over N2 region with the indicator pointing
upwards.

Tilt the probe away from the pulsating artery until the vein is seen
on top of the pulsing artery.

Slide from position N2 to N3 and from position N3 to N4.

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long axis - sagittal

short axis - axial

long axis - sagittal

Apply Color Flow to help differentiate the artery from the vein

short axis - axial

Apply Color Flow to help differentiate the artery from the vein

Pulse wave (PW) Doppler

generates audible signals and waveforms to help differentiate
an artery from a vein
Pulse wave (PW) Doppler
generates audible signals and waveforms to help differentiate
an artery from a vein
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