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Subclavian Central Lines
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And requires you to aim your needle straight at the the lung too!
Yes Plank - but the rate of pneumothorax is lower compared with the infraclavicular approach...At least this is what I remember.
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A good description here: http://journals.lww.com/anesthesiol...avicular_Approach_Is_an_Easy_and_Safe.19.aspx
Thank you dhb.
In my experience this procedure is really easy.
For a normal size person you shouldn't go more than 2 inch deep to find the vein. If you don't find it - means that the site of entry is wrong. Followinf this advice the chances of pneumothorax are 0...
This isn't a procedure to be done with US guidance...There isn't really to much space to place a probe and to control the needle in the same time.
The angle of approach is important too.
It is a good technique to know and could be specifically helpful when you can't get an IJ and you don't have access to do a traditional subclavian approach (intra-operatively for example).
It's still too close to the lung and too close to the brachial plexus IMHO.
It's still too close to the lung and too close to the brachial plexus IMHO.
