Abstract
A modified techniquue of internal jugular catheterization is described, especially suitable for patients in whom subclavian vein catheterization may be dangerous. After introduction into the internal jugular vein, the catheter is tunneled to exit on the chest wall, using the same needle used for venipuncture. A catheter exit site on the chest wall is comfortable for the patient and makes nursing care easy. This factor, in combination with the safety of internal jugular vein cannulation, makes this an ideal method of central vein catheterization for both nutritional support and monitoring.
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