Ultrasound-guided central venous catheterization in the prone position

Editor—Central venous catheterization for patients positioned prone poses challenges to the anaesthesiologist, such as anatomical restrictions in head and neck position, lack of anatomical landmark points to approach, and difficult right internal jugular vein (RIJV) needle advancement with the left hand. Here we present an approach for RIJV catheterization in a patient positioned prone using in-plane needle ultrasound guidance.

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