title: Supraclavicular subclavian vein catheterization: modified landmarks for needle insertion.
abstract: OBJECTIVE
  Identification of reliable landmarks for supraclavicular subclavian vein catheterization that requires no patient manipulation and is easily located.
  
  
  METHODS
  Thirty-five fresh human cadavers.
  
  
  METHODS
  Descriptive study of percutaneous guide wire placement into the subclavian vein using as a new landmark the junction of middle and medial thirds of the clavicle. The position of the guide wire was confirmed by palpation of the wire in the subclavian vein during autopsy.
  
  
  RESULTS
  Successful placement of a guide wire into the subclavian vein occurred in 33 of 35 cadavers (94%) using the new landmark.
  
  
  CONCLUSIONS
  The new landmark for supraclavicular subclavian vein catheterization is reliable, requires no patient manipulation, and is as successful as the standard landmarks.
authors.affiliation: Division of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: J E
authors.initials: JE
authors.lastname: MacDonnell
authors.forename: H
authors.initials: H
authors.lastname: Perez
authors.forename: S R
authors.initials: SR
authors.lastname: Pitts
authors.forename: S A
authors.initials: SA
authors.lastname: Zaki
mesh_terms: D000328:Adult; D000368:Aged; D002102:Cadaver; D002405:Catheterization, Central Venous / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013350:Subclavian Vein