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Needle insertion for the middle approach to subclavian vein

Needle insertion for the middle approach to subclavian vein
In the middle approach to the subclavian vein, the needle is inserted 2 to 3 cm inferior to the midpoint of the clavicle. The needle is advanced while aiming for a point just deep to the suprasternal notch.
UpToDate acknowledges the invaluable assistance of the University of Massacusetts Medical School, Department of Anatomy and Department of Emergency Medicine, including Thomas Ellis, MD and Jean Marcelin, MD, for the photographs of central venous catheter placement.
Graphic 73933 Version 2.0

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