The ultrasound-guided "peripheral IJ": internal jugular vein catheterization using a standard intravenous catheter.

BACKGROUND Obtaining vascular access is difficult in certain patients. When routine peripheral venous catheterization is not possible, several alternatives may be considered, each with its own strengths and limitations. DISCUSSION We describe a novel technique for establishing vascular access in Emergency Department (ED) patients: the placement of a standard catheter-over-needle device into the internal jugular vein using real-time ultrasound guidance. We present a series of patients for whom this procedure was performed after other attempts at vascular access were unsuccessful. In all cases, the procedure was performed quickly and without complications. CONCLUSION Although further study of this technique is required, we believe this procedure may be a valuable option for ED patients requiring rapid vascular access.