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Placing of a subclavian line: Insertion of the catheter.
Remove
the catheter cover.
Insert
the guide wire into the tip of the catheter.
Remove
the lid. If the catheter is with a double or triple lumen then remove
the one labeled as “Distal”.
Ensure
that the guide protrudes from the proximal end of the catheter. If necessary
pull it back a little from the chest, until it appears.
Push
the catheter into the chest.
As
soon as the catheter reaches the desired depth, remove the guide wire.
Naturally the catheter lumen should fill up with blood. Aspirate with
a syringe to ensure that the catheter is in the right place. The blood
you have aspirated could be placed in testing tubes for laboratory tests,
if needed.
Connect
with the IV line and open the valve. Ensure that the flow is normal. Lower
the IV fluid bottle below the level of the right atrium, to ensure that
blood refluxes into the IV line. Place the bottle back onto the stand
and set the desired flow.