Showing posts with label anatomy. Show all posts
Showing posts with label anatomy. Show all posts

Thursday, March 21, 2019

Anatomical Review of Jugular Central Line Placement

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This post was peer reviewed.
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Authors:
Benjamin Mogni, MS-IV
Medical Student
University of Kentucky College of Medicine

Terren Trott, MD
Critical Care Fellow
Cooper Hospital University

Jugular venous catheters allow for central administration of medications, frequent blood draws and central venous sampling. While standard of care for placement of central venous catheters (CVCs) involves ultrasound guidance, physicians should be aware of the traditional landmark approach to line placement. This means having a detailed knowledge of the anterior and posterior triangles of the neck, specifically the division of the sternocleidomastoid into the clavicular and sternal heads, as shown in Figure 1 and Figure 2. This review will summarize the anatomy involved in the placement of a jugular venous catheter and possible complications.