Central Line Insertion Landmarks

• Femoral-Just medial to the femoral pulse.  If absent try to feel for pulse with compressions or use your hand.  Put your thumb at symphysis pubis and index on ASIS.  Aim for just medial of the middle of the “V”
• Internal Jugular-Just between the bellies of the sternocleidomastoid muscle.
• Subclavian-outer third of the clavicle and direct needle towards sternal notch.  Go just under the clavicle