Tuesday, August 11, 2015

Q: What one advantage supraclavicular approach has over infraclavicular approach for insertion of subclavian centeral venous catheter?


Answer: Finder or seeker needle (21G and 3.5 cm length) can be use to locate vessel and it may minimize the risk of complication. Finder needle is very commonly used, mostly when ultrasound is not available during insertion of internal jugular vein localization, but  may help locate the subclavian vein via supraclavicular approach. The needle should be inserted 1 cm posterior to the sternocleidomastoid and 1 cm cephalad to the clavicle.



  

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