A central venous catheter (CVC) is an indwelling device that is peripherally inserted into a large, central vein and advanced until the terminal lumen resides within the inferior vena cava, superior vena cava, or right atrium.

Central venous catheters have many different indications including fluid resuscitation, drug infusions or medication administration that could otherwise cause phlebitis or sclerosis such as vasopressors and hyperosmolar solutions. Furthermore for emergency venous access due to difficult peripheral intravenous access

The subclavian vein site has many advantages as easier nursing care, easier to keep dry, reducing infection risk. It is associated with lower risk of catheter-associated deep vein thrombosis, compared to the internal jugular or femoral sites.



AIM OF THE WORK:

The aim of the work was comparing between the outcomes of insertion of subclavian central venous catheter by ultrasound-guided technique and the landmark technique.



PATIENTS AND METHODS:

PATIENTS

A total sample size of 140 eligible patients with an indication for central venous catheter insertion, divided further into a group of 70 patients for the landmark technique versus a group of 70 patients using the ultrasound-guided technique that will be further divided randomly into 35 patents with long axis view and 35 patients with short axis view.