Pulmonary embolism continues to be a problem for trauma patients. This has resulted in the use of multiple techniques for DVT and PE prophylaxis. The gold standard treatment for DVT and or PE is anticoagulation and sometimes vena cava interruption. Multiple indications for vena cava filter insertion exist. Historically, filters have been placed in the radiology suite under fluoroscopic guidance. Ideally, the vena cava filter would be placed at the bedside, as it is difficult to transport critically ill patients to the operating room or angiogram suite. We believe intravascular ultrasound is an excellent option for evaluation of the renal veins and placement of a vena cava filter. This video descibes the technique used to place an inferior vena cava filter at the bedside in the intensive care unit using intravascular ultrasound. We have successfully used this technique in our ICU with no fluoroscopy and no IV contrast. Intravascular ultrasound is an excellent imaging modality for interrogating the renal veins and vena cava. This bedside technique utilizing intravascular ultrasound is safe and allows for accurate deployment of a vena cava filter without fluoroscopy or IV contrast.