critical care medicine
How To Do Infraclavicular Subclavian Vein Cannulation, Ultrasound Guided
Indications
Secure or long-term venous access that is not available using other sites Inability to obtain Peripheral Vein Catheterization or IV infusion of fluids and drugs for patients in cardiac arrest IV infusion of concentrated or irritating fluids IV infusion of high flows or large fluid volumes beyond what is possible using peripheral venous catheters Monitoring of central venous pressure (CVP) Hemodialysis or plasmapheresis* Transvenous cardiac pacing (see video Cardiac Pacemakers ) or * The subclavian vein may be less preferred for stiff catheters (because of difficulty achieving the sharp turn into the superior van cava) or large-bore hemodialysis catheters (which can cause venous stenosis that renders the ipsilateral arm unsuitable for arteriovenous shunt placement). † For transvenous cardiac pacing and pulmonary arterial monitoring, a right How To Do Internal Jugular Vein Cannulation, Ultrasound-Guided or a left subclavian vein cannulation typically is preferred. A subclavian central venous catheter (CVC) is preferred for long-term venous access in nonbedridden patients (eg, ambulatory patients needing parenteral nutrition, antibiotics, or chemotherapy). 