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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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