• Chest · May 2019

    Review

    Better with Ultrasound: Subclavian Central Venous Catheter Insertion.

    • Scott J Millington, Manoj M Lalu, Michel Boivin, and Seth Koenig.
    • Intensive Care Unit, University of Ottawa/The Ottawa Hospital, Ottawa, ON, Canada. Electronic address: smillington@toh.ca.
    • Chest. 2019 May 1; 155 (5): 1041-1048.

    AbstractThe insertion of a subclavian central venous catheter is generally associated with a high rate of success and a favorable risk profile. The use of ultrasound for procedural guidance has been demonstrated to further increase the rate of success and reduce the risk of specific mechanical complications, especially in patients with difficult surface anatomy. Many individual ultrasound techniques have been described in the literature; this article presents a systematic approach for incorporating these tools into bedside practice and includes a series of illustrative figures and narrated video presentations to demonstrate the techniques described.Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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