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Related Experiment Videos

Subclavian vein catheterization.

C W Pulliam, H D Reines

    American Journal of Surgery
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Massive fluid resuscitation for trauma patients may require subclavian vein cannulation. Modified techniques allow rapid large-volume fluid infusion and autotransfusion, with similar complication rates to standard methods.

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    Area of Science:

    • Emergency Medicine
    • Trauma Surgery
    • Vascular Access

    Background:

    • Massive fluid replacement is critical for resuscitating severely injured patients.
    • The application of MAST (Medical Anti-Shock Trouser) garments and challenges in peripheral intravenous access can necessitate alternative venous access routes.
    • Infraclavicular subclavian cannulation is an option when standard methods are not feasible.

    Observation:

    • Two modifications to the standard subclavian cannulation technique were evaluated.
    • These modifications aim to facilitate rapid infusion of large fluid volumes and enable autotransfusion.
    • The first modification involves placing multiple catheters in the same subclavian vein.

    Findings:

    • The second modification utilizes a modified Seldinger technique for inserting an 8 French Swan-Ganz introducer into the subclavian vein.

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  • Both modified techniques provide quick access for high-volume fluid resuscitation and autotransfusion.
  • The complication profile associated with these modified techniques is comparable to the standard subclavian cannulation procedure.

    • Implications:

    • These modified subclavian cannulation techniques offer viable solutions for achieving rapid large-volume fluid resuscitation in critical trauma scenarios.
    • They enhance the ability to perform autotransfusion when peripheral access is compromised.
    • Clinicians should consider these modifications as effective adjuncts to standard trauma resuscitation protocols.