What are the initial steps of central venous access via the subclavian vein?

Updated: Aug 07, 2018
  • Author: E Jedd Roe, lll, MD, MBA, FACEP, FAAEM, MSF, CPE; Chief Editor: Vincent Lopez Rowe, MD  more...
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Answer

Explain the procedure, benefits, risks, and complications to the patient, and obtain a signed informed consent form.

Position the patient (see Periprocedural Care, Patient Preparation). Identify anatomic landmarks (including the clavicle, the deltopectoral groove, and the sternal notch) to facilitate appropriate insertion of the needle (see the image below).

Anatomy for subclavian approach. Anatomy for subclavian approach.

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