•
Note the position of the subclavian vein, which is posterior to the clavicle,
superior to the first rib, and anterior to the subclavian artery. (At a point just
lateral to the angle made by the clavicle and the first rib.)
WARNING:
•
Patients requiring ventilator support are at increased risk of pneumothorax
during subclavian vein cannulation, which may cause complications.
•
Extended use of the subclavian vein may be associated with subclavian vein
stenosis.
•
The patient should lie completely on his/her back. Both femoral arteries
should be palpated for site selection and consequence assessment. The knee
on the same side of the insertion site should be flexed and the thigh abducted.
Place the foot across the opposite leg. The femoral vein is then posterior/
medial to the artery.
Caution: The incidence of infection may be increased with femoral vein insertion.
•
Confirm final position of catheter with chest x-ray. Routine x-ray should
always follow the initial insertion of this catheter to confirm proper tip
placement prior to use.
•
Femoral catheter tip placement is recommended at the junction of the iliac
vein and the inferior vena cava.
•
Read instructions carefully before using this device. The catheter should be
inserted, manipulated, and removed by a qualified, licensed physician or other
qualified health care professional under the direction of a physician.
•
The medical techniques and procedures described in these instructions for
use do not represent all medically acceptable protocols, nor are they intended
as a substitute for the physician's experience and judgment in treating any
specific patient.
•
Use standard hospital protocols when applicable.
Subclavian Vein
DIRECTIONS FOR SELDINGER INSERTION
Tip Placement
Femoral Vein
1
-3-