case_images: PMC4729426_01
case_images: A) Cross-sectional view of the left internal jugular vein with needle in lumen. B) Longitudinal view of guidewire in lumen of left internal jugular vein.
case_images: wjem-17-81-g002.jpg
case_images: PMC4729426_01_wjem-17-81-g002.jpg
case_images: f2-wjem-17-81
case_images: The neck was prepped in sterile fashion and the left internal jugular vein was cannulated under dynamic ultrasound guidance using a Zonare Z.One PRO ultrasound system (Mountain View, California) (Figure 2a). The guidewire was then gently advanced into the vein (Figure 2b), and the catheter was subsequently advanced over the wire.