Ultrasound-Guided Central Line Insertion
Approach IJ, subclavian, and femoral central line placement with a clear plan for anatomy, sterile technique, and confirmation.
What this track covers
This track covers ultrasound-guided central venous catheterization across the three common access sites, including vessel identification, infection-prevention bundles, and the Seldinger technique. It also addresses post-procedure confirmation and recognizing complications, framed around the decisions clinicians make before, during, and after the procedure.
What you will practice
- Identify IJ, subclavian, and femoral vein anatomy on ultrasound
- Distinguish vein from artery and adjacent structures in short and long axis
- Apply sterile field setup and infection-prevention bundle steps
- Walk through wire-guided (Seldinger) catheter placement in sequence
- Recognize signs of malposition or complications requiring action
Simulator scenario
A timed simulator case where the clinician selects an insertion site, talks through ultrasound-guided access and sterile technique, and responds to a post-procedure complication.
Board question topics
- Site selection and contraindications by patient presentation
- Ultrasound identification of vascular anatomy
- Sterile bundle and infection-prevention steps
- Post-insertion confirmation and complication recognition
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