How is the needle insertion site determined in 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

Numerous landmarks have been described for determining the needle insertion site. The following are some of the options mentioned, any of which will work:

  • 1 cm inferior to the junctions of the middle and medial third of the clavicle
  • Inferior to the clavicle at the deltopectoral groove
  • Just lateral to the midclavicular line, with the needle perpendicular along the inferior lateral clavicle
  • One fingerbreadth lateral to the angle of the clavicle

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