The Subclavian Vein Cannulation: Ultrasound-Guided Procedure Module teaches one how to use ultrasound guidance to cannulate the subclavian vein (i.e., use ultrasound to verify the presence and position of the subclavian vein before skin puncture, followed by real-time ultrasound imaging to guide the needle tip through the puncture process.) The course begins by presenting indications and contraindications for ultrasound-guided subclavian vein cannulation. Then, regional anatomy of the shoulder, both surface and internal, is reviewed. Relevant sonographic anatomy is described and includes the subclavian vein and surrounding structures for the two different cannulation approaches, infraclavicular and supraclavicular. Procedure preparation is discussed in detail and includes ergonomic considerations, infection prevention, optimal transducer selection, patient positioning, and the survey scan. Procedural steps, sonographic techniques, and imaging adjuncts for subclavian vein cannulation are explained. The course concludes with technical tips and pitfalls, potential complications, and a summary of salient teaching points. Ten different simulation cases help one develop the visuospatial skills required to successfully perform ultrasound-guided subclavian vein cannulation.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Emergency Physicians, the Illinois College of Emergency Physicians, and SonoSim, Inc. The American College of Emergency Physicians is accredited by the ACCME to provide continuing medical education for physicians.
The American College of Emergency Physicians designates this enduring material for a maximum of 3.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Approved by the American College of Emergency Physicians for a maximum of 3.5 hours of ACEP Category I credit.