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Currently, pre-procedure United States and landmark techniques tend to be most favored. We investigated both the methods with application of epidermis markings when you look at the pre-procedure group to see effectiveness and protection with a view to include pre-procedure US in our training. In this randomized study, we investigated 66 clients. Thirty-three customers in the pre-procedure ultrasound group and 33 clients into the landmark team were included for right inner jugular