ISBN: 978-88-470-2372-7) EJV approach represents an effective way for accessing the central venous system, reducing severe complications related to deep vein puncture: pneumothorax, hemothorax, arterial or nerve injuries, and deep venous thrombosis [ 7 – 12 ], and it is currently used for many kinds of central venous catheters (mainly dyalisis and Groshong catheters) especially in pediatric patients [ 13 – 17 ], reporting low complication rates and higher success rates, even in emergency and intensive care settings [ 18 – 22 ].