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VOLUME 17 , ISSUE 1 ( February, 2013 ) > List of Articles

REVIEW ARTICLE

Supraclavicular approach of central venous catheter insertion in critical patients in emergency settings: Re-visited

Gaurav Singh Tomar, Sonali Chawla, Suprio Ganguly, Grace Cherian, Akhilesh Tiwari

Keywords : Central venous catheter cannulation, complications, emergency, supraclavicular method

Citation Information : Tomar GS, Chawla S, Ganguly S, Cherian G, Tiwari A. Supraclavicular approach of central venous catheter insertion in critical patients in emergency settings: Re-visited. Indian J Crit Care Med 2013; 17 (1):10-15.

DOI: 10.4103/0972-5229.112145

License: CC BY-ND 3.0

Published Online: 01-02-2013

Copyright Statement:  Copyright © 2013; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The supraclavicular approach was first put into clinical practice in 1965 by Yoffa and is an underused method for gaining central access. It offers several advantages over the conventional infraclavicular approach to the subclavian vein. At the insertion site, the subclavian vein is closer to the skin, and the right-sided approach offers a straighter path into the subclavian vein. Also, this site is often more accessible during CPR and surgical procedures. In patients who are obese, this anatomic area is less distorted and in patient with congestive heart failure and cervical spine instability repositioning is not required.


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