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The first 25 slides, exactly as they appear. The full deck has 54 content slides.
Neuro Critical Care
8 Central Line
Built from Jallo — Neurocritical Care Procedure Atlas
What’s inside
9 sections · 54 slides
Overview
- What this deck will teach you
What a Central Line Is
The basic idea, a little history, and the three ways in
- Starting from first principles
- A little history and how common these are
- Central lines by the numbers
- The three roads to the central circulation
The Anatomy
Where each target vein lives and what sits dangerously close to it
- Subclavian vein: under the collarbone
- Subclavian vein and surrounding structures
- Internal jugular vein: down the side of the neck
- Internal jugular vein and surrounding structures
- Femoral vein: through the groin
- Femoral vein and surrounding structures
When To Place One, and What You Need
Indications, contraindications, and the equipment kit
- Why place a central line - the indications
- Two sides of the decision
- Contraindications - when to think twice
- What is in the central line kit
- Catheter types: tunneled vs nontunneled
- Choosing the number of lumens
The Shared Ultrasound Technique
The common groundwork before the site-specific steps
- Setting up the ultrasound
- Short-axis vs long-axis views
- Short-axis view of jugular vein and carotid artery
- Ultrasound-guided puncture of the jugular vein
- Orienting the probe for the long-axis view
- Long-axis view of the guidewire entering the vein
Subclavian Vein Technique
The chest route, guided mainly by bony landmarks
- Finding the entry point
- Anatomic landmarks for subclavian cannulation
- Positioning and preparation
- Advancing the needle under the clavicle
- Guidewire, dilator, and catheter (Seldinger steps)
Femoral Vein Technique
The groin route, useful when the neck and chest are off-limits
- Positioning and landmark
- Puncture and catheter placement
Internal Jugular Vein Technique
The neck route, the classic ultrasound-guided approach
- Positioning and vessel identification
- Needle insertion under live ultrasound
- Wire, confirmation, and catheter
Complications & Troubleshooting
What can go wrong, the numbers behind it, and expert tips
- The main hazards of placing a central line
- The complication numbers to remember
- The full complication list
- Expert suggestions to make it go smoothly
- Confirming you are truly in a vein
- Manometry to confirm venous placement
- A special warning in the intubated patient
- Rapid review: the safety essentials of a central line
- Conclusion - the take-home message
- References (1/2)
- References (2/2)
- Neuro ICU Procedure Atlas