AI Article Synopsis

  • A study involving 76 anesthesia providers used a mixed reality simulator to compare the supraclavicular and infraclavicular approaches for central venous access via the subclavian vein.
  • The supraclavicular approach required fewer attempts, had shorter venous access times, and boosted participants' confidence compared to the infraclavicular method.
  • The findings suggest that the supraclavicular method could be a viable alternative for central venous access in military settings, especially when ultrasonography is utilized to enhance safety.

Article Abstract

In a study with 76 anesthesia providers on a mixed reality simulator, central venous access via the supraclavicular approach to the subclavian vein, without ultrasonography required less attempts compared to the infraclavicular approach. Participants had shorter times to venous access and larger improvements in confidence. Results from this simulation-based study indicate that the supraclavicular approach may deserve consideration as an alternative approach for central venous access in deployed military environments. The use of ultrasonography during the supraclavicular approach to the subclavian vein is also described which may improve its safety profile. This technique could be more appropriate in scenarios when central venous access is preferred over intraosseous access for patients being transported to another location for further care.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433094PMC
http://dx.doi.org/10.1093/milmed/usy381DOI Listing

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