A New Approach to Percutaneous Catheterization of the Internal Jugular Vein

Abstract

Central venous catheterization is a commonly employed technique. Three approaches for percutaneous IJV [internal jugular vein] cannulation were described, all utilizing the sternocleidomastoid muscle as a landmark. A new approach is described, based on the consistent finding in children and adults of an easily identifiable notch located just above the medial end of the clavicle. The notch is bounded medially by the upward-curving projection of the sternal end of the clavicle and inferiorly by its superior surface.