PROCEDURAL COLUMNA Review of Central Venous Access Using Ultrasound Guidance TechnologyCrenshaw, Nichole A. DNP, APRN, AGACNP-BC, ANP-BC; Briones, Patricia DNP, APRN, FNP-BC; Gonzalez, Juan M. DNP, APRN, AGACNP-BC, ENP-BC, FNP-BC, CEN; Ortega, Johis PhD, APRN, ACNP-BC, ENP-BC, FNP-BCEditor(s): Wilbeck, Jennifer DNP, RN, FNP-BC, ACNP-BC, ENP-C, FAANP, FAAN, Column Editor Author Information University of Miami School of Nursing and Health Studies, Coral Gables, Florida. Corresponding Author: Nichole A. Crenshaw, DNP, APRN, AGACNP-BC, ANP-BC, University of Miami School of Nursing and Health Studies, 5030 Brunson Drive, Room 310, Coral Gables, FL 33146 (firstname.lastname@example.org). Disclosures: The authors report no conflicts of interest. Advanced Emergency Nursing Journal: April/June 2020 - Volume 42 - Issue 2 - p 119-127 doi: 10.1097/TME.0000000000000297 Buy Metrics Abstract More than 5 million central lines are placed in the United States each year. Advanced practice providers place central lines and must understand the importance of ultrasound guidance technology. The use of anatomic landmarks to place central lines has been employed in the past and in some instances is still used. This method may make accessing the target vessel difficult in the patient with anomalous anatomy or in the obese patient. These characteristics decrease successful placement and increase complications. Different organizations have agreed that the use of ultrasound during central venous access has decreased rates of complication and cost. In addition to cannulating and accessing a central vein, ultrasound can be used to rapidly confirm placement and to rule out complications such as pneumothorax. Utilizing ultrasound to assist in performance of procedures, and in assessment of patients, is a skill that should be optimized by nurse practitioners. © 2020 Wolters Kluwer Health, Inc. All rights reserved.