When physician's consider placing a central venous catheter multiple factors play a role including: need for CVC (pressers, prolonged infusion, access, hemodynamic monitoring) infection, co-morbid conditions, site selection and so on. The subclavian line has been established as a site with less infection rate and can be a rapid line to place in a patient who does not have exclusion to placement like increased risk of bleeding. Ultrasound has been proposed as a means to increase procedure safety and accuracy of placement to decrease complications such as pneumothorax. Here is an interesting article by Dr. Farkas on PulmCrit discussing the Shrug Technique.
Click on the link or Source section below the comment box for the article. If you have any thoughts on the topic share them below!