Percutaneous subclavian vein catheterisation and tunnelling procedures.

Catheter malposition following supraclavicular approach for subclavian vein catheterisation--case reports.

The supraclavicular approach of subclavian vein catheterization is associated with the lowest incidence of malposition. We report two cases of unusual malpositions seen during central venous cathelerization of subclavian vein via supraclavicular approach. Literature search did not reveal such malpositions. The possible cause for the malposition and method to prevent it is discussed.

Safe percutaneous suprapubic catheterisation

INTRODUCTION We describe our technique of percutaneous suprapubic catheter insertion with special reference to steps that help to avoid common complications of haematuria and catheter misplacement. METHODS The procedure is performed using a stainless steel reusable trocar under local infiltrative anaesthesia, usually at the bedside. After clinical confirmation of a full bladder, the trocar i...

Subclavian Vein Catheterization

T he subclavian approach to central venous cannulation provides rapid access for fluid and blood administration, hemodynamic monitoring, pacemaker insertion, and placement of catheters for parenteral nutrition. This approach is also useful when peripheral intravenous sites are not available due to extensive burns or trauma, or simply are not present because of obesity or vein depletion from pri...

Internal jugular vein cannulation versus subclavian vein cannulation. A surgeon's view: the subclavian vein.

Effect of patient position on size and location of the subclavian vein for percutaneous puncture.

HYPOTHESIS Large-bore subclavian intravenous access is important during trauma resuscitation and to provide central access in the intensive care unit. Controversy exists as to the patient position that best facilitates the insertion of this line. Duplex scanning of the subclavian vein in different body positions may help define which provides the largest vein size and distance from the clavicle...