Ultrasound-Guided Central Line Placement
Build the judgment to select a site, guide the needle under ultrasound, and confirm safe catheter placement for central venous access.
What this track covers
This track covers ultrasound-guided central venous catheter insertion across internal jugular, subclavian, and femoral sites, including probe technique, vessel identification, and the Seldinger technique from wire to dilation. It also addresses recognizing and managing complications such as arterial puncture, pneumothorax, and infection.
What you will practice
- Optimize ultrasound probe position and image settings to distinguish vein from artery
- Choose between internal jugular, subclavian, and femoral approaches based on patient factors
- Guide a needle in-plane and out-of-plane under real-time ultrasound
- Walk through the Seldinger technique step by step, from wire passage to catheter confirmation
- Recognize signs of arterial puncture or pneumothorax and respond appropriately
Simulator scenario
A patient requiring urgent central venous access presents with anatomy that complicates the standard approach, prompting the clinician to choose a site, troubleshoot ultrasound visualization, and manage a simulated complication in real time.
Board question topics
- Ultrasound vessel identification and probe technique
- Site selection and anatomic landmarks by approach
- Seldinger technique sequence and confirmation steps
- Recognition and management of insertion-related complications
Ask the tutor
The tutor only answers from licensed sources (FDA prescribing information, public guidelines and our own material) and says when it has none. Educational use only, never patient-specific advice.
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