The goal of this interventional study is to assess the feasibility of two bedside techniques for confirming central venous catheter (CVC) placement and detecting complications: * Intracavity ECG monitoring to confirm internal jugular vein CVC tip position. * Thoracic point-of-care ultrasound (POCUS) to rule out pneumothorax following CVC insertion. Participants who require an internal jugular CVC as part of their routine care and meet all inclusion and no exclusion criteria will be randomised to receive either: * Standard care, or * The intervention, consisting of intracavity ECG guidance and thoracic POCUS. The CVC will be inserted either on the left or right side of the neck. All participants will undergo a post-procedure chest X-ray regardless of study arm, to allow comparison of the intervention methods with standard care.
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Recruitment Rate
Timeframe: 12-month recruitment window
Protocol adherence
Timeframe: 12-month recruitment window
Data completeness
Timeframe: 12-month recruitment window
Training requirements
Timeframe: 12-month recruitment window
Technical success rate
Timeframe: 12-month recruitment window
Time taken for confirmation of central venous catheter tip positioning
Timeframe: 12-month recruitment window