Little Itty Bitty 2 – Ultrasound Guided Subclavian
Ultrasound guided subclavian. Better than landmarks? Only if you believe the studies/literature/science….
We hope you enjoy this Little Itty Bitty on the ultrasound-guided infraclavicular approach to this line. Of course, there’s a supraclavicular approach as well, and you can expect that little itty bitty in a few days. We recorded these a while back and planned to do more with them, but then there was a really nice video on both approaches published recently, so we thought we’d just give you these as little itty bitties.
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Looking for the closed captioned version?
…or check out this longer, (well done) video by Phil Perera on the topic
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I did this a few times in residency. I think it’s anatomically an Axillary Cvc as you get it in lateral to the clavicle. Anyway, you could be a little pressed for room. Helps to have a small footprint linear probe, and a towel roll between the shoulder blades helps. Also, the vein is really as pulsatilla as the artery here. Helps to think that the vein was hyper dynamic compared to the stiffer artery.
Thanks