Quote from mlos
the ej is a peripheral vein, although one that poses more risks w/cannulation as the op stated. at my facility we nurses cannot start lines in the ej, the docs must, but we otherwise use them as we would any other peripheral line.
a line placed in the interior jugular is a central line.
at our facility, the medics can place them too. (ejs, that is)
[color=#a0522d]a central line is defined by where the tip of the iv ends, not where it starts. for a line to be central, the tip must be in the superior vena cava (or inferior vena cava for fem lines)
[color=#a0522d]even if it looks like a central line, if the tip isn't in the svc/ivc, then it isn't truley a central line. it is long, multi-lumen peripheral line.
[color=#a0522d]jugular central lines are almost always placed in the ij, though the ej can be used if the ij is occluded and the ej patent/large enough. if the central line is placed via the ej route, the facility may
consider it a picc, though that is really splitting hairs.