Ultrasound-guided central venous catheter (CVC) placement is now the standard of care for central line insertion. It improves first-pass success, reduces complications, and enhances safety—especially in emergency and critically ill patients.
Hemodynamic monitoring (CVP, ScvO₂)
Administration of vasopressors or irritant drugs
Dialysis access
Frequent blood sampling or poor peripheral access
Long-term IV therapy (e.g., chemotherapy, TPN)
Real-time imaging
No radiation
Bedside capability
Better visualization of pleural-based lesions
Safer in patients with limited lung reserve
US-guided central line placement is safer, faster, and more accurate.
Real-time imaging helps avoid complications like arterial puncture or pneumothorax.
Right IJ vein is the most common and safest site under ultrasound.