Where does the subclavian central line go?

The tip of the catheter should be at the junction of the SVC and right atrium on chest xray. New data would suggest that this is 2cm below the superior right cardiac sillhouette which is made up by the right atrial appendage.

What is subclavian central venous line?

Central catheters provide dependable intravenous access and enable hemodynamic monitoring and blood sampling [1-3]. The subclavian veins are an often favored site for central venous access, including tunneled catheters and subcutaneous ports for chemotherapy, prolonged antimicrobial therapy, and parenteral nutrition.

Which central line is best?

Summing Up: What’s the “Best” Site for Central Line Placement? Using the subclavian site for central venous catheterization reduced infections and DVT to a minimum, but tripled the risk of pneumothorax compared to the internal jugular (IJ) position.

What are the indications for a central venous line?

Some indications for central venous line placement include fluid resuscitation, blood transfusion, drug infusion, central venous pressure monitoring, pulmonary artery catheterization, emergency venous access for patients in which peripheral access cannot be obtained, and transvenous pacing wire placement.

Where does the Central line meet the subclavian vein?

Central Line Placement: A Step-by-Step Procedure Guide. The internal jugular vein follows a line from the inferior aspect of the external acoustic meatus to the medial aspect of the clavicle. It passes deep to the sternocleidomastoid muscle between the two heads and joins the subclavian vein to form the brachiocephalic vein,…

Is it worth learning ultrasound guided subclavian lines?

The ultrasound-guided subclavian central line placement depends on very precise ultrasound-guided needle control, so this isn’t a novice-level procedure. However, this is a technique well worth learning. Once mastered it will allow the operator to place any central line with ease (subclavian, jugular, or femoral).

When to use Central line or subclavian WikEM?

Central line if coagulopathic. Preferentially use a compressible site such as the femoral location (avoid the IJ and subclavian if possible) No benefit to giving FFP unless artery is punctured However, consider giving FFP if patient has hemophilia.

Which is better the left or right subclavian line?

In contrast, the left subclavian takes a diagonal glide path directly into the superior vena cava, without any sharp turns. This also explains why the left subclavian site is favored for placement of transvenous pacemakers or Swan-Ganz catheters.