Paitents can be a challenge when trying to obtain peripheral IV access. The vein may be collapsed from dehydration or scarred because of IV drug use or repeated cannulation. Before thinking about an ultrasound-guided deep vein IV or a central line, take a look at the external jugular (EJ) vein.
- There is no tourniquet for the neck.
- To distend the vein, you often need to put the patient in Trendelenburg, which may be uncomfortable or intolerable for some