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In order to succeed in cannulation of blood vessels under ultrasound guidance, it is important to enter the blood vessel at the site where the vessel diameter is the largest, and further advance the needle tip within the blood vessel at the site where the vessel lumen is the largest. The short axis method has advantages over the long axis method for this purpose. However, for high-risk procedures such as central venipuncture, short axis and long axis methods should be used together for safety. It is recommended that you advance the needle using the short axis method and then check using the long axis method. The best way of mastering the long axis method is to understand the logical maneuver and do simulation training. A nephrologist in Kyoto, Tadashi Kamata, MD ************** Video Index ************** Click on the blue type below to jump to a specific stage of the video. 00:00 Start 00:53 Technique 01:39 Example of incorrect technique 02:14 Switching from short axis image to long axis image 03:16 More practical training method 03:39 Actual case 04:13 Take-home message ************** Relevant papers & videos ************* How to Safely Cannulate a Difficult Internal Jugular Vein on the First Attempt • How to Safely Cannulate a Difficult Intern... Kamata T, et al. “Ultrasound-guided cannulation of hemodialysis access. Ren Replace Ther” 2016; 2:7 https://doi.org/10.1186/s41100-016-00... Peripheral Vein Cannulation Using Ultrasound- transverse or longitudinal - which is best • Peripheral Vein Cannulation Using Ultrasou...