Emergency War Surgery NATO Handbook: Part II: Response of the Body to Wounding:
Chapter IX: Shock and Resuscitation
Infraclavicular Subclavian Catheterization
United States Department of Defense
Infraclavicular Subclavian Catheterization
-
Place the patient in a supine position, at least 15° head down to distend the neck
veins and to prevent an air embolism. Turn the patient's head away from the venipuncture
site.
-
Cleanse and prep the skin around the Venipuncture site and drape the area. Sterile
gloves should be worn when performing this procedure.
-
Indroduce a large-caliber needle, attached to a 5 ml syringe, 1 cm inferior to the
junction of the middle and medial thirds of the clavicle.
-
After the skin has been punctured, with the bevel of the needle upward, expel the skin
plug that may occlude the needle.
-
Direct the needle medially, slightly cephalad, and posteriorly behind the clavicle
towards the posterior, superior angle of the sternal end of the clavicle (toward a finger
placed in the suprasternal notch).
-
Slowly advance the needle while gently withdrawing the plunger of the syringe.
-
When a free flow of blood appears in the syringe, remove the syringe and occlude the
needle with a finger to prevent an air embolism.
-
Quickly insert the catheter to a predetermined depth such that the catheter does not
rest within a cardiac chamber.
-
Remove the needle and connect the catheter to the IV tubing.
-
Suture the catheter in place, apply antibiotic ointment, dress the area, tape the tubing
in place, and label the adhesive with the date of insertion.
-
Obtain a chest film to check the position of the IV line land to rule out pneumothorax
Approved for public release; Distribution is unlimited.
The listing of any non-Federal product in this CD is not an
endorsement of the product itself, but simply an acknowledgement of the source.
Operational Medicine 2001
Health Care in Military Settings
Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C
20372-5300 |
Operational Medicine
Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
January 1, 2001 |
United States Special Operations Command
7701 Tampa Point Blvd.
MacDill AFB, Florida
33621-5323 |
This web version is provided by
The Brookside Associates Medical
Education Division. It contains original contents from the official US
Navy NAVMED P-5139, but has been reformatted for web access and includes
advertising and links that were not present in the original version. This web
version has not been approved by the Department of the Navy or the Department of
Defense. The presence of any advertising on these pages does not constitute an
endorsement of that product or service by either the US Department of Defense or
the Brookside Associates. The Brookside Associates is a private organization,
not affiliated with the United States Department of Defense.
Contact Us · ·
Other Brookside Products
|