critical care medicine
How To Do Internal Jugular Vein Cannulation, Ultrasound Guided
Positioning for Internal Jugular Vein Cannulation, US Guided
Raise the bed to a comfortable height for you (ie, so you may stand straight while doing the procedure). Place the patient supine and in Trendelenburg position (bed tilted with the head down 15 to 20°) to distend the internal jugular vein and prevent air embolism. Turn the patient's head slightly to the contralateral side to preliminarily expose the internal jugular vein but not cause overlap with the carotid artery (during the procedure, you will use ultrasound to optimally expose the vein). Stand at the head of the bed. 