Better With Ultrasound: Subclavian Central Venous Catheter Insertion

Chest. 2019 May;155(5):1041-1048. doi: 10.1016/j.chest.2018.12.007. Epub 2019 Jan 2.

Abstract

The 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.

Keywords: central venous catheter; medical education; point-of-care; ultrasound.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Catheterization, Central Venous / adverse effects
  • Catheterization, Central Venous / methods*
  • Central Venous Catheters
  • Humans
  • Patient Positioning
  • Patient Safety
  • Pneumothorax / etiology
  • Pneumothorax / prevention & control*
  • Subclavian Vein / diagnostic imaging*
  • Surgery, Computer-Assisted / methods*
  • Ultrasonography, Interventional / methods*