How do you puncture a subclavian vein?

Subclavian/infraclavicular axillary The subclavian vein has traditionally been accessed by passing a needle deep to the clavicle and puncturing the vein as it passes between the clavicle and first rib. It is possible to access the vein more laterally, before it passes under the clavicle.

How is a PICC line placed?

To place the PICC line, a needle is inserted through your skin and into the vein in your arm. Ultrasound or an X-ray might be used to confirm the placement. A small incision is made in the vein so that a thin, hollow tube (catheter) can be inserted.

How deep is subclavian central line?

Based on the mean distance from the CVC insertion point to the distal SVC, we determined that the recommended depth of insertion should be 14 cm for the right subclavian vein, 15 cm for the right internal jugular vein, 17 cm for the left subclavian vein and 18 cm for left internal jugular vein.

Where do you put the femoral line?

The femoral vein lies medially adjacent to the femoral artery. With increasing distance from the inguinal ligament, the vein runs under the artery. The desired point of femoral vein puncture is 1 to 2 cm inferior to the inguinal ligament.

Is the subclavian vein deep or superficial?

In the upper extremity the deep veins include the paired radial veins, paired ulnar veins, paired brachial veins, axillary vein, and subclavian vein.

Can the subclavian vein be punctured by the own original methodology?

The subclavian vein puncture by the own original methodology was carried out in 34 patients aging from 19 to 88 years (the main group). Control group consisted of 50 cases of the subclavian vein catheterization in the manner of Aubaniac. 50 case histories of patients were selected by the continuous sampling method.

What is the target area of subclavian venipuncture?

This region of the vein is the intended target of subclavian venipuncture using the infraclavicular approach. The infraclavicular approach is most common, and one of two skin insertion sites is used: either 1 to 2 cm inferior to the clavicle at the junction of its medial and middle thirds, or just inferior to the clavicle at its midpoint.

What is the difference between left and right subclavian cannulation?

At the second site (clavicular midpoint), less effort is needed to maintain the shallow angle of insertion that keeps the needle in the coronal plane. Right subclavian cannulation, versus left, is sometimes preferred because it avoids the thoracic duct and because the right pleural apex is lower than the left.

What are the contraindications for central venous catheterization of subclavian vein?

Central Venous Catheterization — Subclavian Vein. Specific contraindications for the placement of a central venous line in the subclavian vein include infection of the area overlying the target vein and thrombosis of the target vein and fracture or suspected fracture of the clavicle or proximal ribs.