Rapid IJ

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An overview of how to do a "Rapid IJ" aka "Easy IJ" as described on EMRAP November 2016, based on the article below. It's a quick and effective peripheral line, but in the internal jugular vein. Presented by Jess Mason, MD and thanks to UCSF Fresno Clinical Skills Lab.

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Tags Difficult Access Easy IJ Internal Jugular Cannulation Intravenous Access IV Access Quick IJ Rapid IJ Ultrasound Guided Access

Timothy S. -

Just curious... If you use the large over-the-catheter angiocath that comes in the central line kit, can the rapid IJ be converted to a triple lumen line later using the Seldinger method through the existing cannula?

Jess Mason -

If you did a full sterile prep and then a sterile re-prep when you go back with a wire and new kit then I don't see that being a problem.

Rossman H. -

Hi Jess
thank you for the demo. would you mind sharing the paper on the website. As I cannot find the link under the video under the summary tab.

Jess Mason -

Moayedi S, Witting M, Pirotte M. Safety and efficacy of the “easy internal jugular (IJ)”: an approach to difficult intravenous access. The Journal of emergency medicine. 2016 Dec 1;51(6):636-42.

Also there is an EMRAP segment on this:
https://www.emrap.org/episode/penetratingthe/rapidij

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