Millington SJ, et al. Chest 2020 - Review.
Central venous catheterization is routinely performed in the intensive care unit to obtain venous access for hemodynamic monitoring, parenteral nutritional support, hemodialysis, and delivery of fluids & vasoactive medications. While central venous catheters can be lifesaving, their insertion is not without risk. Historically, central veins were accessed using landmark-based techniques, but the medical literature strongly supports the use of ultrasound guidance. The purpose of this article is to review the basic principles of real-time ultrasound-guided internal jugular and femoral catheter placement; an approach for incorporating these tools into clinical practice will be presented, along with illustrative figures and video.