Need a CVC?  Let's revisit the subclavian line.

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Need a CVC? Let's revisit the subclavian line.

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. 

PulmCrit - 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!

 

 

 

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