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{
    "pk": 9510,
    "title": "Ultrasound-Guided Cannulation: Time to Bring Subclavian Central Lines Back",
    "subtitle": null,
    "abstract": "Despite multiple advantages, subclavian vein (SCV) cannulation via the traditional landmark approach has become less used in comparison to ultrasound (US) guided internal jugular catheterization due to a higher rate of mechanical complications. A growing body of evidence indicates that SCV catheterization with real-time US guidance can be accomplished safely and efficiently. While several cannulation approaches with real-time US guidance have been described, available literature suggests that the infraclavicular, longitudinal “in-plane” technique may be preferred. This approach allows for direct visualization of needle advancement, which reduces risk of complications and improves successful placement. Infraclavicular SCV cannulation requires simultaneous use of US during needle advancement, but for an inexperienced operator, it is more easily learned compared to the traditional landmark approach. In this article, we review the evidence supporting the use of US guidance for SCV catheterization and discuss technical aspects of the procedure itself.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "subclavian vein, subclavian central line, vascular access, ultrasound guidance, longitudinal approach, in-plane approach, infraclavicular approach"
        }
    ],
    "section": "Technology in Emergency Medicine",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8ns5s4h0",
    "frozenauthors": [
        {
            "first_name": "Talayeh",
            "middle_name": "",
            "last_name": "Rezayat",
            "name_suffix": "",
            "institution": "David Geffen School of Medicine, UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "Jeffrey",
            "middle_name": "R.",
            "last_name": "Stowell",
            "name_suffix": "",
            "institution": "Maricopa Medical Center, Department of Emergency Medicine, Phoenix, Arizona",
            "department": "None"
        },
        {
            "first_name": "John",
            "middle_name": "L.",
            "last_name": "Kendall",
            "name_suffix": "",
            "institution": "Denver Health Medical Center, Department of Emergency Medicine, Denver, Colorado",
            "department": "None"
        },
        {
            "first_name": "Elizabeth",
            "middle_name": "",
            "last_name": "Turner",
            "name_suffix": "",
            "institution": "David Geffen School of Medicine, UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, California",
            "department": "None"
        },
        {
            "first_name": "J.",
            "middle_name": "Christian",
            "last_name": "Fox",
            "name_suffix": "",
            "institution": "University of California, Irvine, Department of Emergency Medicine, Irvine, California",
            "department": "None"
        },
        {
            "first_name": "Igor",
            "middle_name": "",
            "last_name": "Barjaktarevic",
            "name_suffix": "",
            "institution": "David Geffen School of Medicine, UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, California",
            "department": "None"
        }
    ],
    "date_submitted": "2015-12-12T02:00:07Z",
    "date_accepted": "2015-12-12T02:00:07Z",
    "date_published": "2016-03-02T23:59:44Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/9510/galley/5315/download/"
        }
    ]
}