TIVAD implantation

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  1. Topography of the subclavian vein

    Video
    Topography of the subclavian vein
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    Demonstrating the anatomical relationship of the scalene muscle, subclavian/brachial artery and vein, and the relation of the clavicle regarding these two vessels.

  2. Infiltrating the surgical site with local anesthetic

    Video
    Infiltrating the surgical site with local anesthetic
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    Insert needle about 1 finger width inferior to the clavicle at roughly its middle and apply a total of 10 mL of local anesthetic, both as a wheal and in subclavian direction.

Puncturing the subclavian vein

Puncture the vein with the needle initially at 70°-90° to the clavicle; after feeling no more resis

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