32. IJ Insertion Method After flash of blood, syringe is removed and a guidewire is advanced to 20cm The needle is then removed, leaving the guidewire in place
33. IJ Insertion Method Position of guidewire in relation to neck anatomy Make a small skin stab at wire insertion site. Note control of guidewire with both hands
34. IJ Insertion Method Dilate. If awake, tell the patient “you’re going to feel some pressure.” Advance the catheter over the wire. NEVER let go of the wire . Grab it when it comes out the brown port
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37. Insertion Site-Femoral Vein is medial to femoral artery In anatomic position (legs apart), axis of vein is as pictured: toward umbilicus Note the inguinal ligament!