The "Easy IJ": Difference between revisions
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==Overview== | ==Overview== | ||
*Alternative to [[Central venous catheterization|CVC placement]] when landmark-based and ultrasound-guided PIV placement | *Alternative to [[Central venous catheterization|CVC placement]] when landmark-based and ultrasound-guided PIV placement has failed | ||
*Relatively new technique | *Relatively new technique | ||
*Does not require full sterile technique (as opposed to traditional CVC placement) | *Does not require full sterile technique (as opposed to traditional CVC placement) | ||
| Line 24: | Line 24: | ||
*Apply adhesive dressing to ultrasound probe and cover with sterile gel | *Apply adhesive dressing to ultrasound probe and cover with sterile gel | ||
*Identify IJV with ultrasound | *Identify IJV with ultrasound | ||
*Use same technique for [[Ultrasound assisted peripheral | *Use same technique for [[Ultrasound-assisted peripheral line placement|ultrasound-guided PIV placement]] to cannulate the IJV | ||
==Complications== | ==Complications== | ||
*Prospective study of 74 patients in the Emergency Department reported no arterial punctures, infections, or pneumothorax | *Prospective study of 74 patients in the Emergency Department reported no arterial punctures, infections, or pneumothorax <ref>Moayedi S et al. Safety and Efficacy of the “Easy Internal Jugular (IJ)”: An Approach to Difficult Intravenous Access. J Emerg Med 51(6): 636 – 642. PMID: 27658558</ref> | ||
==See Also== | |||
{{Vascular access types}} | |||
==External Links== | |||
*[http://www.emdocs.net/unlocking-common-ed-procedures-approach-to-the-patient-with-difficult-vascular-access/ emDOCs: Approach to the Patient with Difficult Vascular Access] | |||
===Videos=== | |||
{{#widget:YouTube|id=FjSmbUWXznY}} | |||
==References== | ==References== | ||
[[Category:Procedures]] | [[Category:Procedures]] | ||
Latest revision as of 01:31, 29 June 2021
Overview
- Alternative to CVC placement when landmark-based and ultrasound-guided PIV placement has failed
- Relatively new technique
- Does not require full sterile technique (as opposed to traditional CVC placement)
Indications
- Patient with difficult vascular access failing ultrasound-guided PIV placement
Contraindications
- Thrombosis of the internal jugular vein
- Overlying skin or soft tissue infection
Equipment Needed
- Chlorhexidine or alcohol swab
- Ultrasound with high-frequency linear probe
- Bio-occlusive adhesive dressings
- Sterile ultrasound gel media
- Nitrile gloves
- Extra-long 18-gauge intravenous catheter
Procedure
- Place patient in Trendelenburg position
- Prep skin with antiseptic
- Apply adhesive dressing to ultrasound probe and cover with sterile gel
- Identify IJV with ultrasound
- Use same technique for ultrasound-guided PIV placement to cannulate the IJV
Complications
- Prospective study of 74 patients in the Emergency Department reported no arterial punctures, infections, or pneumothorax [1]
See Also
Vascular access types
- Central venous catheterization
- Rapid infusion catheter
- Intraosseous access
- Venous cutdown
- Umbilical vein catheterization
- Ultrasound assisted peripheral line placement
- External jugular vein cannulation
- The "Easy IJ"
- Midlines
External Links
Videos
{{#widget:YouTube|id=FjSmbUWXznY}}
References
- ↑ Moayedi S et al. Safety and Efficacy of the “Easy Internal Jugular (IJ)”: An Approach to Difficult Intravenous Access. J Emerg Med 51(6): 636 – 642. PMID: 27658558