title: The ultrasound-guided "peripheral IJ": internal jugular vein catheterization using a standard intravenous catheter.
abstract: 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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  Although further study of this technique is required, we believe this procedure may be a valuable option for ED patients requiring rapid vascular access.
authors.affiliation: Department of Emergency Medicine, Alameda County Medical Center-Highland Hospital, Oakland, California, USA.
authors.forename: Nathan A
authors.initials: NA
authors.lastname: Teismann
authors.forename: Ronesha S
authors.initials: RS
authors.lastname: Knight
authors.forename: Matthew
authors.initials: M
authors.lastname: Rehrer
authors.forename: Sachita
authors.initials: S
authors.lastname: Shah
authors.forename: Arun
authors.initials: A
authors.lastname: Nagdev
authors.forename: Michael
authors.initials: M
authors.lastname: Stone
mesh_terms: D000328:Adult; D002405:Catheterization, Central Venous / Q000295:instrumentation / Q000379:methods*; D057785:Catheters; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging*; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D019095:Point-of-Care Systems; D011446:Prospective Studies; D018084:Ultrasonography, Interventional