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hey first day intern uh everyones busy and we need a central line upstairs can you go handle that dont let this happen to you join us for our episode all about central lines [Music] today dr frankel will be the model for the right internal jugular central line its probably the one youre most likely to do but stick around because we do discuss the other common sights a smooth central line is all about preparation and dr parsons is helping me out by attending to patient positioning so first he unlocks the bed and moves it so that there is ample room at the head to stand next he elevates the bed to a comfortable working height for me thanks mike thats good and then he places the patient in a little bit of trendelenburg which helps to engorge the veins of the neck he takes the headboard off the head of the bed and then we slide the patient as far up as hell go in the bed finally gently tilt the patients neck off to the side lets have a look at some landmarks well do the line with