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[Music] hi guys im mikhail pasdernik from prague icu our next video is dedicated to jugular cvc line insertion which is one of the most common and important invasive procedures on icu do not forget to go through our cvc line insertion presentation that will give you more useful information and tips and tricks about the topic before cvc insertion place the bed in mild trendelenburg position that will decrease the risk of air embolism and ensures maximum venous feeling before scrubbing up perform a provisional ultrasound to check vein patency and exclude thrombosis jugular vein is circular and collapse easily use also color doppler scrub the skin with clorox sitting extensively and drape the intended area insert the ultrasound probe into the sterile cover apply sterile gel on the probe and tie it with rubber band in awake and minimally sedated patients skin should be infiltrated with a local anesthetic under ultrasound guidance always check the needle tip approach the introducer needle