which is the proper angle for cannulating internal access?
After reading this article, the physician should be able to: 1  Proper equipment setup and positioning for UGCVC. 2  Ultrasound criteria for possible difficult UGCVC. 3  Procedural steps involved in locating, accessing and cannulating the internal jugular vein with ultrasound guidance.
The internal jugular vein should be imaged and placed in the center of the ultrasound field. The needle should be angled at 40 to 60 degrees from the plane of the neck and 1 cm back from the middle of the ultrasound probe (Image 5).