On 2014 Oct 01, Preben Berthelsen commented:

Platelet transfusions are not innocuous. Furthermore, they do not reliably prevent bleeding connected with mishaps during central venous catheterisation via an internal jugular or subclavian vein.

Central venous access via an external jugular vein is successful in more than 95% of patients if the external jugular vein can be visualised and cannulated. (Berthelsen et al. Acta Anaesthesiol Scand 1986;30:470-. Kato et al. J Invest Surg 2014;27(3):176-)

If access via an external jugular vein is chosen, there is no need to check or modify the patient’s coagulation status before central venous access is attempted. P.G.Berthelsen. Charlottenlund. Denmark

On 2014 Oct 01, Preben Berthelsen commented:

Platelet transfusions are not innocuous. Furthermore, they do not reliably prevent bleeding connected with mishaps during central venous catheterisation via an internal jugular or subclavian vein.

Central venous access via an external jugular vein is successful in more than 95% of patients if the external jugular vein can be visualised and cannulated. (Berthelsen et al. Acta Anaesthesiol Scand 1986;30:470-. Kato et al. J Invest Surg 2014;27(3):176-)

If access via an external jugular vein is chosen, there is no need to check or modify the patient’s coagulation status before central venous access is attempted. P.G.Berthelsen. Charlottenlund. Denmark