Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ KEY IMAGES +++ Transverse view of neck vein and artery ++ Vedio Graphic Jump Location Video 11-01: Transverse view of carotid and internal jugular The anatomy of the right neck is visible in this clip acquired in the transverse view. The carotid can be seen medial, and has pulsatile flow. The heterogenous structure to the left of the carotid is the thyroid gland. The sternocleidomastoid muscle overlies both the carotid and internal jugular vein. The color of the flow does not indicate the oxygenation status of the blood, instead merely demonstrates whether blood is moving toward or away from the transducer, but in this case the carotid artery is red and the jugular vein is blue. Play Video +++ Hand position, transverse ++ Vedio Graphic Jump Location Video 11-02: Transverse view of carotid and internal jugular This video demonstrates an ideal patient setup and how to apply gel to the probe and to apply a sterile probe cover. 1 min, 41 secs 640 360 Play Video +++ Longitudinal view of vein with catheter ++ Vedio Graphic Jump Location Video 11-03: Longitudinal view of the catheter in the vein In the longitudinal axis a post procedural ultrasound can visualize the catheter and ensure that it remains within the internal jugular vein without penetrating the posterior wall. Play Video +++ Hand position, longitudinal ++ Figure 11-1 Graphic Jump LocationView Full Size||Download Slide (.ppt) +++ Transverse view of needle entering vessel ++ Vedio Graphic Jump Location Video 11-04: Needle accessing the internal jugular vein in the transverse view When the needle is about the enter the vein there will frequently be indentation of the superficial side of the vessel. Caution is required at this point, as too much pressure will result in a sudden release of that tension and the needle penetrating the posterior wall. In this case, once the vessel wall releases and the vein returns to a round shape the needle can be seen near (but not through) the posterior wall of the internal jugular vein. Play Video +++ Longitudinal view of needle in vessel ++ Vedio Graphic Jump Location Video 11-05: Needle accessing a vessel in longitudinal axis In the longitudinal view the needle and the bevel can be visualized throughout the pass into the vessel. Play Video +++ Longitudinal view of wire in vessel ++ Vedio Graphic Jump Location Video 11-06: Wire entering the vessel in longitudinal view Once in the vessel, the wire can be advanced. In the longitudinal view a confirmatory examination with ultrasound should show a gently curved wire lying against the posterior side of the vessel, not passing through ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Download the Access App: iOS | Android Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.