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Central Venous Catheterization – Internal Jugular

Medicine/Nursing > Vascular Procedures
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Materials Included:

  • text-icoText
  • video-icoVideo
  • 3d-anatomyAnatomy
  • simulation-icoSimulation
  • practiseQuiz
This module teaches you how to safely prepare for and insert a central venous catheter into the jugular vein. Including both Learn and Test modes, the online simulator allows you to practice and test your ability to insert a central line into the jugular vein, with cross-sectional animations to enable understanding.

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Central venous catheterization is a common procedure carried out in a hospital setting, and is used for a variety of reasons including intravenous administration of specific drugs, parenteral nutrition, haemodialysis, and to aid in the diagnosis of cardiac failure. This module teaches you how to safely prepare for and insert a central venous catheter into the jugular vein. Including both Learn and Test modes, the online simulator allows you to practice and test your ability to insert a central line into the jugular vein, with cross-sectional animations to enable understanding. Practice the steps of the procedure online as often as you want, until you feel confident. This module is one of the foundation skills required for Year 1 post-graduate medical trainees.

 

You’ll learn

  • indications, contraindications and complications related to central venous catheterization
  • to visualize the anatomy of the rib cage, the underlying great vessels of the heart, and the jugular vein in relation to surrounding structures
  • how to prepare for central venous catheterization of the jugular vein
  • to practice and perfect your skills in inserting a central line into the jugular vein, while maintaining an aseptic technique
  • how to perform the Modified Seldinger technique
  • how to secure the cannula
  • correct post-procedure considerations
  • much more (see “content details” for more specific information)
Step 1 - Preparation
Step 1.1 - Tray preparation
Step 1.2 - Patient preparation
Step 1.3 - Operator preparation
Step 2 - Cleanse the skin and infiltrate local anesthetic
Step 3 - Insert the needle into the internal jugular vein
Step 4 - Advance the guidewire through the syringe and needle
Step 5 - Incise the skin at the puncture site
Step 6 - Advance the dilator over the guidewire
Step 7 - Advance the catheter over the guidewire
Step 8 - Remove the guidewire
Step 9 - Flush the catheter
Step 10 - Secure the catheter
  • Indications, contraindications, and complications related to this procedure
  • Correct tray set up
  • Correct positioning of the patient
  • Familiarity with the equipment
  • Identification of anatomical landmarks 
  • How to cleanse the site and infiltrate local anesthestic   
  • The steps of the procedure while maintaining an aseptic technique
    • Cleansing of the puncture site
    • The angle of needle entry
    • The depth of needle insertion
    • Correct performance of the Modified Seldinger technique
  • How to secure the cannula
  • Correct postprocedure considerations and documentation

The SIMTICS modules are all easy to use and web-based. This means they are available at any time as long as the learner has an internet connection. No special hardware or other equipment is required, other than a computer mouse for use in the simulations. Each of the SIMTICS modules covers one specific procedure or topic in detail. Each module contains:

  • an online simulation (available in Learn and Test modes)
  • descriptive text, which explains exactly how to perform that particular procedure including
  • 2D images and a 3D model of applied anatomy for that particular topic
  • a step by step video demonstration by an expert
  • a quiz
  • a personal logbook that keeps track of all the modules the learner has studied and how long

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