I was curious if anyone had any experience that they would be willing to
share with the "supraclavicular" approach for subclavian access in emergent
situations, especially when CPR is ongoing.
Recently had a child transferred in from the periphery with one
of these in place. When I reviewed some literature on it, ( to be specific,
Hodges' text book on procedures in EM), it is touted as a relatively easy
approach and does not interfere with chest compressions (since one is out of
the field, much like the femoral route). Moreover, the risk of a PTX is
reported as substantially less, since one is anatomically further away from
the dome of the apical pleura.
Any thoughts or data would be appreciated.
Jay Pershad, MD
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is: