c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Subclavian Vein Access: 10

A D V E R T I S E M E N T

   
 

Thus a precise stereotactic puncture of the terminal axillary vein requires that the needle be elevated approximately 30 degrees from the frontal plane of the body. Combined with the angle mandated by the course of the vein in the frontal plane, the aiming point for the needle tip is actually the body of the first thoracic vertebra at the posterior margin of the superior thoracic aperture. If these criteria are followed, it is essential that steady gentle suction be maintained and advancement be stopped as soon as the front wall of the vein is punctured to avoid injuring deeper structures. Using this anatomic approach, first puncture success has been enhanced for the author and his students.    

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This page was last modified on 3/1/1999.