Difference between revisions of "Central line: supraclavicular"

(See Also)
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==Supraclavicular==
+
==Procedure==
 
# 1cm lat to scm head
 
# 1cm lat to scm head
 
# 1cm post to clavicular head
 
# 1cm post to clavicular head
 
# bisect angle btwn scm & clavicle
 
# bisect angle btwn scm & clavicle
 
# 10' angle inf to horizontal plane
 
# 10' angle inf to horizontal plane
 +
 +
==Contraindications==
 +
{{Central line with coagulopathy}}
  
 
==Source==
 
==Source==

Revision as of 19:50, 11 January 2015

Procedure

  1. 1cm lat to scm head
  2. 1cm post to clavicular head
  3. bisect angle btwn scm & clavicle
  4. 10' angle inf to horizontal plane

Contraindications

Central line if coagulopathic

  • Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible)
  • No benefit to giving FFP unless artery is punctured[1]

Source

See Also

  • Fisher NC, Mutimer DJ. Central venous cannulation in patients with liver disease and coagulopathy—a prospective audit. Intens Care Med 1999; 25:5
  • Morado M.et al. Complications of central venous catheters in patients with haemophilia and inhibitors. Haemophilia 2001; 7:551–556