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- Joshua Sappenfield, Sasha Grek, Lou Ann Cooper, David E Lizdas, and Samsun Lampotang.
- Department of Anesthesiology, 1600 SW Archer Road, Gainesville, FL.
- Mil Med. 2019 Mar 1; 184 (Suppl 1): 329-334.
AbstractIn a study with 76 anesthesia providers on a mixed reality simulator, central venous access via the supraclavicular approach to the subclavian vein, without ultrasonography required less attempts compared to the infraclavicular approach. Participants had shorter times to venous access and larger improvements in confidence. Results from this simulation-based study indicate that the supraclavicular approach may deserve consideration as an alternative approach for central venous access in deployed military environments. The use of ultrasonography during the supraclavicular approach to the subclavian vein is also described which may improve its safety profile. This technique could be more appropriate in scenarios when central venous access is preferred over intraosseous access for patients being transported to another location for further care.© Association of Military Surgeons of the United States 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
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