MedComp HEMO-FLOW Gebrauchsanleitung Seite 5

INSERTION SITES:
•
The patient should be in a modified Trendelenburg position,
with the upper chest exposed and the head turned slightly to
the side opposite the insertion area. A small rolled towel may be
inserted between the shoulder blades to facilitate the extension
of the chest area.
•
Have patient lift his/her head from the bed to define the ster-
nomastoid muscle. Catheterization will be performed at the
apex of a triangle formed between the two heads of the
sternomastoid muscle. The apex should be approximately three
finger breadths above the clavicle. The carotid artery should be
palpated medial to the point of catheter insertion.
• Note the position of the subclavian vein, which is posterior to
the clavicle, superior to the first rib, and anterior to
the subclavian artery. (At a point just lateral to the angle made
by the clavicle and the first rib.)
Warning: Patients requiring ventilator support are at increased
risk of pneumothorax during subclavian vein cannulation, which
may cause complications.
Warning: Extended use of the subclavian vein may be associated
with subclavian vein stenosis.
Internal Jugular Vein
Subclavian Vein
Tip Placement
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