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Jugular venous catheters

Dr Jeremy Jones and Dr Frank Gaillard et al.

The internal jugular vein is a preferred site for venous access for large lumen, long term catheters for chemotherapy, haemofiltration and plasma exchange. Typically, the right internal jugular is used as its vertical course straight down into the superior vena cava via the right brachiocephalic vein makes access easiest.

The vein is usually punctured using ultrasound guidance and catheter tip location confirmed using fluoroscopy. A variety of catheters are used with a varibale numbuer of lumens, and with or without a subcutaneous tunnelled portion.

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