title: Supraclavicular approach of central venous catheter insertion in critical patients in emergency settings: Re-visited.
abstract: The supraclavicular approach was first put into clinical practice in 1965 by Yoffa and is an underused method for gaining central access. It offers several advantages over the conventional infraclavicular approach to the subclavian vein. At the insertion site, the subclavian vein is closer to the skin, and the right-sided approach offers a straighter path into the subclavian vein. Also, this site is often more accessible during CPR and surgical procedures. In patients who are obese, this anatomic area is less distorted and in patient with congestive heart failure and cervical spine instability repositioning is not required.
authors.affiliation: Department of Anesthesia and Intensive Care, St. Stephen's Hospital, Tis Hazari, New Delhi, India.
authors.forename: Gaurav Singh
authors.initials: GS
authors.lastname: Tomar
authors.forename: Sonali
authors.initials: S
authors.lastname: Chawla
authors.forename: Suprio
authors.initials: S
authors.lastname: Ganguly
authors.forename: Grace
authors.initials: G
authors.lastname: Cherian
authors.forename: Akhilesh
authors.initials: A
authors.lastname: Tiwari
keywords: Central venous catheter cannulation; complications; emergency; supraclavicular method