What is the subclavian line?
The subclavian line is a long, thin catheter used to direct fluid or drugs to Subclavian vein. It is a similar function to traditional intravenous (IV) therapy, but has several different advantages in patient care: the subclavian lines provide direct access to the venous system; can be used to administer a large number of drug supplements, fluids or nutrition; Allow doctors to monitor central venous pressure; and can remain in place for a long time. Another main advantage is that it allows regular samples of blood samples without disturbing the patient. The Subclavian line is just one of several types of central venous lines that can be used.
It is common for the patient to receive either sitting IV or general anesthesia during the location of the Subclavian line. The local anesthetic is then used for a numb area and a small cut is made. The doctor puts a thin catheter in a vein and puts it in a larger tie, which carries blood directly into the heart. It is common for a patient to experience some discomfort in this area for severalIk days after the procedure, but most patients report that the discomfort in the procedure is minimal.
The tunnel catheter approach is often used when the subclavian line is expected to remain in place for a longer period of time. This method allows the catheter the "tunnel" under the skin and rises in another place. As a result, movement is much easier for the patient and the access port is less visible, as it would otherwise stand out directly from the neck. Tunneled catheters can also be used in central venous lines located in a weakness or arm. These types of central lines are often used to administer chemotherapy to cancer patients or regular blood transfusions in individuals with sickle -shaped anemia.
There are two subclavian veins, one on each side of the body. They are large veins with diameters similar to pencil diameter. Doctors often use part of the subclavian vein that runs directly behind the collar comfd. The use of larger veins, such as Subclavian, increases the likelihood of a successful catheter insertion for the first time, as their location can be predicted more precisely than the location of smaller veins, such as those in the arms or hands. This prevents the patient to endure several attempts to find a vein and reduces the risk of infection by limiting the number of breaks in the patient's skin.
Despite the many advantages of using subclavian lines, there are also several risks to be considered. Up to 15% of individuals who undergo this procedure will experience some kind of complications. The infection is possible whenever the skin is interrupted and must be taken into account. Other complications include mechanical problems with the catheter or in the Vein itself. Ultrasonography has significantly reduced the risks associated with the incorrect catheter.