Central line: supraclavicular: Difference between revisions
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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, though IJ preferred over subclavian)
  • No benefit to giving FFP unless artery is punctured[1]

Source

See Also

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