Procedure and teaching verses of supraclavicular subclavian catheterization
10.3760/cma.j.cn121430-20200727-00543
- VernacularTitle:锁骨上入路锁骨下静脉置管的流程与教学歌诀
- Author:
Pingqing GUO
1
;
Yilong WU
;
Siming LIN
;
Lei CHEN
;
Congjuan LIN
;
Xide CHEN
;
Jianqing ZHENG
;
Guangwei ZHENG
;
Shaodan FENG
;
Zhenlyu LIN
;
Zhihong LIN
Author Information
1. 福建医科大学附属第一医院急诊医学中心，福建福州 350005
- Keywords:
Central venous catheterization;
Supraclavicular subclavian catheterization;
Difficult catheterization;
Maneuver;
Verses
- From:
Chinese Critical Care Medicine
2021;33(6):755-756
- CountryChina
- Language:Chinese
-
Abstract:
In order to improve the success rate of supraclavicular deep venous catheterization and reduce mechanical complications, we present an auxillary maneuver in regard to supraclavicular subclavian catheterization basing on the relatively fixed anatomy of subclavian vein and its adjacent surroundings, furthermore, we revised the standardized procedure of supraclavicular subclavian catheterization. The maneuver is summarized in the shape of verses (verses: thumb navigation is well designed according to anatomy. Needle penetrated into vein should be parallel to coronal plane. Fine needle in position should be immobilized. Is it difficult for parallel puncture? Pressure determination is required when needle is in place. It is critical to distinguish which vessel has been inserted. Guidewire is advanced smoothly. Check blood return after expansion of skin and catheterization.). For teaching convenience, verses are considered to be more concise and memorable, as well as applicable to clinical practice, in order to provide some help for clinical teaching.
