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| | Anatomy |
 | | The internal jugular vein exits the jugular foramen of the skull base and courses inferiorly along with the carotid artery and vagus nerve The IJ begins posterior to the carotid artery at the cranium but spirals around the artery and ends up anteriorly at the level of the chest. | | | The down side is that this approach, however, is that it still may incite the same amount of stenosis and thrombosis as the subclavian approach. | | | Commonly the carotid artery is manually displaced medially and a needle puncture is made midway between the angle of the mandible and superior margin of the clavicle directed towards the ipsilateral nipple. |
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http://www.venousaccess.com/ANATOMY.HTM
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| | eMedicine - Subclavian Vein Thrombosis : Article by Steven Ugbarugba, MD |
| | Exercise caution in selecting patients for thrombolytic therapy because patients with catheter-associated subclavian thrombosis often have significant comorbidity. | | | Dilatation of subcutaneous collateral veins may be present over the upper arm and chest. | | | The incidence of this condition has increased remarkably over the past few years because of the extensive use of catheters in patients with cancer and other chronic medical conditions. |
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http://www.emedicine.com/med/topic2772.htm
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| | EMedHome.com |
| | In another study of 183 patients, 5.5% of patients had a variant right IJ vein, which did not correlate to the traditional anatomical landmarks (24) And in a third study, 5.5% of 869 patients had an IJ vein that was actually medial, rather than lateral, to the carotid artery (25). | | | The practitioner should then mark the veinâs location by using a needle hub to indent the skin, both anteriorly and posteriorly to the midpoint of the probe (Video 8). | | | To cannulate the vein, the catheterization needle should puncture the skin at the superior apex of this triangle while aiming for the patientâs ipsilateral nipple. |
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http://www.emedhome.com/features_printfriendly.cfm?FID=1746
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| | Supraclavicular Approach to the Subclavian Vein |
| | When the vein is entered, hold the needle in position and remove the syringe. | | | Advance the needle towards the suprasternal notch, maintaining negative pressure on the syringe. | | | Infiltrate this area with local anaesthetic using a fine needle. |
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http://www.chime.ucl.ac.uk/resources/student-projects/cer-2000-01/swProject/Procedures/Supraclavicular_Approach_to_th/supraclavicular_approach_to_th.html
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| | Anaesthesia For The Patient With Respiratory Disease (page 3) |
| | In conscious patients the subclavian route is often preferred (since head movement does not affect it) and also in trauma patients with suspected cervical spine injury. | | | Subclavian cannulae are easier to secure which reduces subsequent movement and dislodgment. | | | Cannulation is associated with a lower incidence of complications than the subclavian approach. |
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http://www.nda.ox.ac.uk/wfsa/html/u12/u1213_03.htm
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| | SUBCLAVIAN VEIN CANNULATION IN A DIFFERENT POSITION |
| | Most of technical procedures require that the needle is advanced with syringe parallel to the chest wall to avoid entering pleura. | | | Nevarre DR, Domingo OH: Supraclavicular approach to subclavian catheterization: review of the literature and results of 178 attempts by the same operator J Trauma 1997; 42: 305-309. | | | We are reported that our experiences for SV puncture putting the patients in semi-Fowler position. |
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http://www.med.ege.edu.tr/~norolbil/2000/NBD10600.html
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| | Venous access |
| | The needle is inserted and either blood is drawn and the needle is removed, or a catheter is inserted to place an intravenous line. | | | The selected vein should be long and straight for needle accommodation. | | | This procedure should not be performed if the attempts in one leg is unsuccessful, the skin over the legs is diseased (from a burn or infection), or there is a broken leg bone or bone disease. |
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http://www.healthatoz.com/healthatoz/Atoz/ency/venous_access.jsp
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| | Subclavian Vein: |
| | The effects of variation in shoulder position on the relationship between the clavicle and the subclavian vein have recently been elegantly analysed by Tan et al | | | In particular, the effect of changes in shoulder position must be understood. | | | Tripp HF, Bolton JW Phrenic nerve injury following cardiac surgery: a review. |
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http://www.manbit.com/pac/chapters/p9.cfm
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| | [No title] |
| | The subclavian vein (SVC) may be preferred for central venous access if, for example, the patient has a cervical spine injury, or perhaps the line is for long-term use (e.g. | | | Ensure that a chest X-ray is ordered, to identify the position of the line and to exclude pneumothorax. | | | These images have been reproduced with kind permission from Anatomy.tv |
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http://www.frca.co.uk/article.aspx?articleid=100031
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| | Joint Program in Nuclear Medicine |
| | Two weeks after the most recent cycle of chemotherapy (Adriamycin based) she developed local pain in the left upper chest at the time of chemotherapy. | | | A study (27k bytes) from another patient shows normal flow through the left arm and through both ports of a portacath. | | | Reed JD, Harman JT, Harris V. Regional fibrinolytic therapy for iatrogenic subclavian vein thrombosis. |
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http://www.med.harvard.edu/JPNM/TF94_95/May16/WriteUpMay16.html
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| | Thoracic Outlet Syndrome |
| | Notably, this is a large, muscular man with a recent history of increased upper body exercise, plane travel and chiropractic manipulations of his neck and upper extremity. | | | Acute thrombus can be managed by anticoagulation or thrombolytic drugs. | | | Diagnostic studies should be bilateral even if symptoms are unilateral; contralateral disease is often found. |
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http://brighamrad.harvard.edu/Cases/bwh/hcache/170/full.html
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| | JPEN: Journal of Parenteral and Enteral Nutrition: Osteomyelitis and the clavicle after subclavian vein catheterization |
| | One patient underwent Swan Ganz catheterization, and another developed osteomyelitis of the right clavicle after catheterization for hemodialysis. | | | The patient was treated with high-dose antibiotic therapy using 12 g of oxacillin and 240 mg of gentamicin daily, for 6 weeks. | | | Antibiotic treatment is effective when symptoms are recognized early and treatment begins within several weeks of the subclavian vein catheterization. |
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http://www.findarticles.com/p/articles/mi_qa3762/is_199807/ai_n8799024
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| | Brachiocephalic vein -- Facts, Info, and Encyclopedia article |
| | These great vessels merge to form the (Receives blood from the head and arms and chest and empties into the right atrium of the heart; formed from the azygos and both brachiocephalic veins) superior vena cava. | | | The left and right brachiocephalic veins or innominate veins in the upper chest are formed by the union of each corresponding (Veins in the neck that return blood from the head) jugular vein and subclavian vein. | | | The brachiocephalic veins are the major veins returning blood to the superior (Either of two large veins that return oxygen-depleted blood to the right atrium of the heart) vena cava. |
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http://www.absoluteastronomy.com/encyclopedia/b/br/brachiocephalic_vein.htm
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| | An Anatomic Landmark to Simplify Subclavian Vein Cannulation: The "Deltoid Tuberosity" -- von Goedecke et al. 100 (3): ... |
| | Address correspondence and reprint requests to Achim von Goedecke, MD, Department of Anesthesiology and Critical Care Medicine, Medical University of Innsbruck, Anichstrasse 35, 6020 Innsbruck, Austria. | | | vein cannulation was performed in 60 patients with a standard | | | Achim von Goedecke, MD Christian Keller, MD Bernhard Moriggl, MD Volker Wenzel, MD Reto Bale, MD Martina Deibl, PhD |
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http://www.anesthesia-analgesia.org/cgi/content/abstract/100/3/623
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| | MedlinePlus Medical Encyclopedia: SVC obstruction |
| | An examination may show dilated cutaneous (skin) veins of the face, neck, and upper chest. | | | Superior vena cava obstruction can also be caused by noncancerous conditions that cause chronic fibrosis (scarring). | | | Note: Symptoms may begin suddenly or gradually, and may worsen when bending over or lying down. |
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http://www.nlm.nih.gov/medlineplus/ency/article/001097.htm
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| | Drug InfoNet - Subclavian Vein Thrombosis - [general] |
| | Drug Infonet provides drug and disease information for your healthcare needs. | | | These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. | | | An individual patient is always advised to consult their own physician. |
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http://www.druginfonet.com/index.php?pageID=faq/new/DISEASE_FAQ/Subclavian_Vein_Thrombosis.htm
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| | LEFT SUBCLAVIAN VEIN |
| | Left Subclavian Vein: transports blood away from the left forelimb and the left ventral chest wall |
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http://mail.fkchs.sad27.k12.me.us/fkchs/vpig/ltsubv.htm
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| | Definition: Brachiocephalic Artery/Vein med Terms med Family |
| | Branches of the subclavian artery supply blood to parts of the shoulder, neck and head. | | | At this point, it divides, giving rise to the "common carotid artery," which carries blood to the right side of the neck and head, and the right "subclavian artery," which leads to the right arm. | | | The brachiocephalic vein takes blood from these sites back to the heart from the subclavian vein. |
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http://www.medfamily.org/medTerms-term-id1079.html
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