HOW TO PLACE A SUBCLAVIAN LINE WITH ULTRASOUND

HOW TO PLACE A SUBCLAVIAN LINE WITH ULTRASOUND / / You can't place a subclavian line with ultrasound, right? The clavicle gets in the way right? There's too much lung, right? All WRONG! You can place central lines in the subclavian vein. Watch episode 8 of #CritTips to learn how.
Have you tried to place this line before? Leave your comments below and don't forget to like the video if you enjoyed it and subscribe to this channel.
Stay awesome!

[@Tgolden069]

Our facility relies heavily on US guided line insertion and I am fortunate enough to use it many times during my shift. Your content has been fantastic at making me even more proficient in my practice. For difficult peripheral access and using Pythagorean’s theorem, can almost guarantee 1st attempt success which is not only better for the patient in the long term but for overall patency of the line during procedure. The OR loves when we can assure 1.5 inch of large bore catheter in the vessel and it’s brilliant for MTP. Thanks for sharing your experience and knowledge with us.

[@CriticalCareNow]

Thank you for sharing and I’m glad you’re here

[@nysurgpa]

Very informative. I’m a central line sim instructor but focus mostly on IJ cannulation. I remember the days of blind subclavian access and have done a few under ultrasound but not recently so this review is great. Will share with colleagues.

[@CriticalCareNow]

Thanks for commenting

[@benjaminlawner3584]

@@CriticalCareNow Call it what you want. Great video, as usual. See you in the not so distant future.

[@CriticalCareNow]

I hope so. Overdue for a dance party

[@badrowes]

I will try it under a supervision ASAP , thanks for the great video

[@CriticalCareNow]

Thanks

[@airsh003]

Cool. Now to convince my attending to let me try this next time lol.

[@CriticalCareNow]

ahmad irshad haha...I take no responsibility for talking with your attending. But have some data ready. There’s lots out there

[@minalyan]

Haha. The same thing

[@thevascularguy]

Our SOP for auscultation changed from Ear-to-chest to stethoscopes. It’s time we change our insertion SOP to ultrasound guided 🙌

[@CriticalCareNow]

Yaaaas!

[@emmblaze]

super cool Haney..Excellent presentation. I must learn this . tom fiero, ed, merced

[@CriticalCareNow]

Thanks Tom!

[@husainalabdulghani3064]

I like your way for explanation, I will try your technique next time for subclavian cvc

[@CriticalCareNow]

Abo- Ali thanks for you comments!!!

[@markshina3511]

Fantastic video. General surgeon always prefer left subclavian. Would like info on where one can take a course on a simulator

[@CriticalCareNow]

Hey. Great question. I run a course called UltraRounds that is usually live but not so much in light of the pandemic. Check out UltraRounds.com for more info

[@juanaliaga2321]

Excellent video! Looking forward to practicing the US approach on a phantom and getting good views on long-axis for cannulation. Thank you for sharing!

[@CriticalCareNow]

Thank you!

[@giacomodeluca5993]

Hi, do you have to puncture in the middle of the probe during in-plane technique (as in the short axis) as long as you get the full lenght long axis view of the vessel?

[@CriticalCareNow]

Yes, exactly

[@firelight3912]

Thanx...we r waiting for explanation on pts.

[@CriticalCareNow]

thanks

[@raulrfvqsquezr6476]

Thank you! great video. Question. What angle between the needle and ultrasound probe do u use for???

[@CriticalCareNow]

Like a 20-30 degree

[@abdulmanafm2208]

Nice presentation!!

[@CriticalCareNow]

thanks for commenting and gald you enjoyed

[@girayaltunok3219]

Cool but i want to do a suggestion; a video of procedure

[@CriticalCareNow]

giray altunok thanks for commenting. Will definitely try to do

[@dgozaru]

Wow nice video. Have you ever tried the supraclavicular approach? I think it's relatively safer than the usual infraclavicular approach

[@CriticalCareNow]

I’ve tried it but personally I like the infraclavicular approach. Any reference for safety?

[@dgozaru]

@@CriticalCareNow
maybe you can read these? doi.org/10.4038 /slja.v26i1.8269 and doi:10.1093/bja/aet202. Both study consistently find SC approach is faster and Byon et al also find that the SC approach decreases the incidence of guidewire misplacement. But actually it's just my personal preference. Knowing pleura is really close scares me a lot and make my hands tremble hahaha..

[@shehabudeenea7545]

Fine Sir

[@CriticalCareNow]

Thanks

[@tarunarunsahu4998]

Wow, you are awesome

[@CriticalCareNow]

I appreciate you. Thanks

[@drarpana766]

What happened with the disc

[@CriticalCareNow]

It was “instant underwear”. It took a week it rehydrate. Was it you who sent it ;)

[@aatriham]

When I grow old, I want to be like Haney.

[@CriticalCareNow]

Haha...you don’t want to be like me these days. Tired and beat up from work. Hope you are well and loving you FaceBook updates

[@aatriham]

@@CriticalCareNow Yeah, we are good here in Houston. Fortunately, the stay home order worked and we didn't get the tsunami of sick people. We did get some, but very manageable.
But I still want to be like you... smart, fun and with a full beard. 😝
You too brother, take care, stay safe and keep us learning with the bits and the tips that are crit ✌🏼😉👍🏼

[@CriticalCareNow]

Glad to hear it my friend, please stay safe and hope to see you soon

[@positronisomer206]

excellent vid Haney. Smart AND sexy!

[@CriticalCareNow]

Thanks and you’re damn right

[@dranoopjain]

just talking non stop non sense for 11 minutes and 10 seconds, total waste of time
all you had to do was put up 2-3 minute video demonstrating live line placement

[@CriticalCareNow]

Thanks for watching. Really glad you enjoyed it. Check out the other videos on the site