Turbulent Flow in the Internal Jugular Vein on POCUS secondary to a distal thrombus. You're going to place a central line on a hypotensive patient. 💉 You got this 💪🏽 You put the ultrasound probe on their IJ to take a look 😷👀 And you see this.. Some of the many but not all causes include: ♦️Thrombi, Clots & Hypercoaguable States ♦️Vessel Stenosis & PVD (often from Atherosclerosis) ♦️Disorders affecting viscosity (PCV, Waldenstrom, etc) ♦️Sickle Cell In this patient, a clot further down the IJ prevented the CVC from being placed.😕 Use caution before attempting CVC placement in patients w/this much turbulent flow & consider some underlying causes! Labeled Schematic: https://twitter.com/MRamzyDO/status #InternalJugular #Venous #Turbulent #Turbulence #Flow #POCUS #clinical #ultrasound #Neck #IJ
