In intensive care, CVP line or short line, in nephrology ward, an  IJC for dialysis are very frequent procedure.

I just started my nephrology rotation this month and I found out that inserting IJC is safe and fast procedure (at least for those first timer) with assistance from Ultrasound.

It’s contrasted with my past experience of attempting to insert CVP line with blind technique.

Even more, I just found that NICE is recommend 2D ultrasound as a tool for CVP insertion.

Complete summary as follow: URL:  http://guidance.nice.org.uk/TA49

2-D imaging ultrasound guidance should be the preferred method when inserting of central venous catheter into the internal jugular vein in adults and children in ‘elective situations’. (‘Elective situation’ means that the operation, or other treatment, has been planned – that is, it is not an emergency.)

2-D imaging ultrasound guidance should be considered in most clinical situations where CVC insertion is necessary, whether the situation is elective or an emergency.

Everyone who uses 2-D imaging ultrasound guidance to insert central venous catheters should have appropriate training to ensure they are competent to use the technique.

Audio-guided Doppler ultrasound guidance is not recommended for use when inserting central venous catheters.