Wednesday November 22, 2006
Bedside tip - Where is Subclavian vein ?
The easiest way to visualize the exact location of subclavian vein is to find the junction of lateral (clavicular) head of sternocleidomastoid muscle and clavicle. Even in obese neck, this junction can be find with little deep palpation. Subclavian vein lies just behind clavicle.
In infraclavicular approach - go below the clavicle at this junction
In supraclavicular approach - go from above the clavicle at the angle of this attachment/junction. Supraclavicular approach carries slightly higher risk of hitting subclavian artery.
Bedside tip - Where is Subclavian vein ?
The easiest way to visualize the exact location of subclavian vein is to find the junction of lateral (clavicular) head of sternocleidomastoid muscle and clavicle. Even in obese neck, this junction can be find with little deep palpation. Subclavian vein lies just behind clavicle.
In infraclavicular approach - go below the clavicle at this junction
In supraclavicular approach - go from above the clavicle at the angle of this attachment/junction. Supraclavicular approach carries slightly higher risk of hitting subclavian artery.