Reduced Complications of Supraclavicular Approach in Simulated Central Venous Access: Applicability to Military Medicine
Abstract
In a study with 76 anesthesia providers on a mixed reality simulator, central venous access via the supraclavicular approach to the subclavian vein, without ultrasonography required less attempts compared to the infraclavicular approach. Participants had shorter times to venous access and larger improvements in confidence. Results from this simulation-based study indicate that the supraclavicular approach may deserve consideration as an alternative approach for central venous access in deployed military environments. The use of ultrasonography during the supraclavicular approach to the subclavian vein is also described which may improve its safety profile. This technique could be more appropriate in scenarios when central venous access is preferred over intraosseous access for patients being transported to another location for further care.
Document Details
- Document Type
- Pub Defense Publication
- Publication Date
- Mar 01, 2019
- Source ID
- 10.1093/milmed/usy381
Entities
People
- David E. Lizdas
- Joshua Sappenfield
- Lou Ann Cooper
- Samsun Lampotang
- Sasha Grek
Organizations
- National Center for Advancing Translational Sciences
- National Institutes of Health
- University of Florida