From the Departments of Anaesthesiology.
Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark.
A A Pract. 2021 Mar 8;15(3):e01420. doi: 10.1213/XAA.0000000000001420.
The right supraclavicular fossa view allows for ultrasonographic visualization of the central veins. A preprocedural scan of an asymptomatic 38-year-old man referred for peripherally inserted central catheter (PICC) insertion revealed a large thrombus in the right brachiocephalic vein. Hence, a left-sided insertion was chosen. Using the right supraclavicular view, the PICC was visualized in the left brachiocephalic vein, and the catheter was followed to its final position, avoiding contact with the thrombus. Thus, the right supraclavicular fossa view allowed for the detection of relevant pathology and facilitated an alternative feasible strategy with real-time catheter guidance during PICC insertion.
右锁骨上窝视图可用于超声可视化中央静脉。一位 38 岁无症状男性因外周置入中心静脉导管（PICC）插入而接受了术前扫描，结果显示右头臂静脉内有一个大血栓。因此，选择了左侧插入。使用右锁骨上窝视图，PICC 在左头臂静脉中可视化，导管被追踪到其最终位置，避免与血栓接触。因此，右锁骨上窝视图可以发现相关的病理学，并在 PICC 插入过程中通过实时导管引导提供可行的替代策略。
