Ultrasound machines are increasingly available in numerous hospital settings, including medical floors, ICUs and EDs, and have been widely used by vascular surgeons, interventional radiologists, ER physicians, and ICU physicians for their vascular access procedures. 5 , 6 Only in the Cath lab has the use of ultrasound been notably limited, despite the significant potential for bleeding and other vascular complications from coronary, peripheral, and structural interventions. It is a straightforward technique that is relatively easy to learn and utilizes equipment that is readily available in most hospitals. With reasonable experience, US guidance facilitates precise cannulation of vessels regardless of anatomic variation, which can increase procedural success. In comparative studies of palpation-guided and US-guided radial access the number of needed attempts was reduced, the first-pass success rate was improved, and the time to access was decreased. 7 , 8 , 9 , 10 Not only is there increasing evidence to support US guidance for vascular access for coronary interventions, there are multiple additional applications of ultrasound in the cardiac catheterization lab. Use of US guided peripheral interventions has shown improved success rates in limb salvage and amputation prevention procedures. 11 , 12 , 13 , 14 Point-of-care US is affordable and easy to use in assisting in accurate vascular access. There are several ultrasound devices commercially available for vascular access.