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Internal Jugular Central Lines

Small Bore Internal Jugular Central Lines provide benefits to those patients with limited access to the chest or arm area. This page describes situations in which an Internal Jugular Central Venous Catheter Line should be considered to avoid potential complications such as those in patients with breast cancer, risk of lymphedema, deep vein thrombosis (DVT), chronic kidney disease, upper arm cellulitis, or any who are contraindicated for other lines.

Internal Jugular Central Lines

Internal Jugular Central Lines are excellent alternatives when other central lines such as Peripherally Inserted Central Catheter (PICC) Lines and Small Bore Axillary or Femoral Central Venous Catheter Lines are unavailable or contraindicated. There are many reasons why such lines can be contraindicated and an Internal Jugular Central Line will provide the access needed to reach the large vein above the heart, the superior vena cava (SVC).

Small Bore Internal Jugular Central Venous Line

Internal Jugular Central Lines Illustration

Internal Jugular Central Lines

– Use Cases

Use Cases for Internal Jugular Central Lines include:

(a) when an Axillary Central Venous Line is unavailable.

(b) when a patient has had a bilateral mastectomy with lymph node removal, usually in the case of breast cancer, and has a higher risk of lymphedema. Lymph node removal can increase the risk of lymphedema which is swelling on an affected extremity. This swelling can be temporary or permanent and is painful and difficult to treat for the patient.

(c ) when a patient is contracted such that their muscles in their body have shortened and their arms will not extend out from the side of their body, thus making access very difficult.

(d) when a patient presents with chronic kidney disease such that labs results show creatinine is equal to 2 or greater or GFR is below approximately 45, which indicates stage 3 Chronic Kidney Disease. Vascular Wellness follows Kidney Disease Outcomes Quality Initiative (KDOQI) guidelines for line placement. The Internal Jugular line maintains upper arm vein preservation as preferred dialysis route utilizes upper arm veins.

(e) when a patient presents with upper extremity cellulitis, regardless of type, a PICC line should not be inserted through areas of infection.

(f) if a patient has deep vein thrombosis (DVT) in an upper extremity, that site should not be used for a PICC line.

Internal Jugular Central Lines

– Vascular Wellness

When clinically indicated, Vascular Wellness clinicians will insert an Internal Jugular Line into the vein and thread the catheter to the lower SVC. This is a central line that is not peripherally inserted, such as a PICC line.

Vascular Wellness clinicians have the ability to place and choose many of the more complex lines. An Internal Jugular Line is considered an advanced central line that requires additional training, not usually found in most vascular access nurse departments or outsource providers.

With our experience and skills, Vascular Wellness has and continues to place small bore central venous catheter lines at similar very high success rates and zero insertion related infections as we do with PICCs. Vascular Wellness is a comprehensive Vascular Access Solution with the tools and training to provide the right Vascular Access at the Right Time, the First Time.

For more about our Small Bore Central Venous Catheters read the article HERE…

Small Bore Internal Jugular Central Venous Catheter Lines

Internal Jugular Catheter is a central line that is not peripherally inserted, such as a PICC line

Explore our Internal Jugular Vascular Access Patient Cases

Internal Jugular Vascular Access Cases

These patient cases highlight some of the interesting Nurse Clinicians in Action cases that Vascular Wellness clinicians have encountered and participated in treatment.


As Vascular Access Specialists, Vascular Wellness nurse clinicians are Vascular Access Board Certified (VA-BC), insured, skill-verified, and salaried W2 employees.  Vascular Wellness requires semi-annual skill verification ensuring adherence to proprietary policies, procedures, competencies, and best practices.  We focus on holistic and comprehensive care and do not follow the pay per procedure model plus performance bonuses used by others that may create some adverse incentives for speed at the bedside versus holistic medical care helping to ensure the placement of the right line at the right time, the first time.  In fact, Vascular Wellness employs a Director of Research and Development who not only helps us stay up to date on best practices but helps us continue to innovate and improve upon Vascular Access Services.

Vascular access specialist services line placement

Vascular Access Specialists practice holistic medical care, meaning talking to the patient, addressing questions and fears, and performing a comprehensive medical review.  Prior to delivering any Vascular Access procedure, the Vascular Wellness clinician reviews the patient’s medical record, including history and lab reports, and independently verifies and confirms the doctor’s order.  If our clinician has questions or disagrees with the prescribing doctor, the clinician will consult with the doctor. Our Vascular Access Specialists have earned the trust of many doctors, and such doctors will defer to the clinician’s recommendation by ordering a “consult” as compared to a specific line.  Patient safety and vein preservation are critical – which is why a holistic, comprehensive evaluation and Advanced Lines are significant.  Other companies claiming to be Vascular Access Specialists may not follow this same approach frustrating medical doctors and nurses primarily because those 1099 Contractor PICC nurses do not place Advanced Lines (i.e, no options other than PIVs, Midlines, and PICCs) and get paid on a pay per procedure model.

In states where nurses are permitted, as Vascular Access Specialists, Vascular Wellness clinicians can provide immediate X-Ray Clearance of lines when tip confirmation is not available or appropriate and X-Ray confirmation must be used. This saves money, time, and coordination with a Radiologist or other doctor and enables the lines to be used immediately to avoid delaying treatment. Quicker therapy leads to better outcomes.

As Vascular Access Specialists, Vascular Wellness uses top rated and hospital preferred supplies from Becton Dickinson (BD), formerly Bard. Superior supplies and services help mitigate the potential for poor outcomes such as bad placement, clotting, infections, and other adverse events.  Other companies that are not Vascular Access Specialists may opt for inferior supplies and older equipment.

Want a comprehensive Vascular Access Service?

We offer timely, innovative, and advanced vascular access services at the bedside, with full administrative support, from skilled employees who care.

Want more than just a PICC Service or PICC Team?
Email us below or call 877-284-4435.
We are Vascular Access Specialists and here to help and answer your questions.

Let us be part of your trusted Healthcare Team.

Vascular Wellness provides comprehensive, quality, timely, and innovative vascular access services, including standard and advanced line placement, pediatrics, program management, education, training, and infection control and prevention to all healthcare settings such as Tertiary Hospitals, Community Hospitals, Long-Term Acute Care Hospitals, Hospital at the Home Programs, Skilled Nursing Facilities, Surgical and Outpatient Centers, Hospice, and At-Home care. We support a 98+% Success Rate with 0% Insertion-Related Infection Rate across all lines, with an average response time of 3 hours. We help our clients improve patient outcomes, enable faster therapy, reduce costs, infections, and readmissions, decrease hospital length of stay, and reduce transportation expenses.

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