IntrOductIOn Catheterisation of central venous access has many purposes. It was being done with conventional landmark technique. Recently, use of USG for IJV cannulation deserved widespread implementation based on the strength of evidence in the literature. Usually, central lines are put in place by using anatomical landmarks, which often result in complications; while USG provides "real time" imaging. Many techniques for IJV puncture using anatomical landmark have been described [1].

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... ons include formation of haematoma, occurrence of pneumothorax, puncture of the artery, improper cannulation into the thorax or soft tissues and even death. These complications are influenced by factors like expertise of the operator, site of attempted access and Body Mass Index (BMI) [2] . Recently, the use of USG for cannulation has been reported by many researchers to ease the procedure as compared to the landmark technique. It has been proposed that USG could decrease the number of complications, reduce the number of attempts and enhance the success rate [3, 4] .