Bard Access Systems, Inc.
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3. Aspirate gently as the insertion is made.
Warning:
If the artery is entered, withdraw the needle and apply
manual pressure for several minutes. If the pleural space is
entered, withdraw the needle and evaluate patient for possible
pneumothorax.
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4. When the subclavian vein has been entered, remove the syringe
leaving the needle in place. Place a finger over the hub of the
needle to minimize blood loss and the risk of air aspiration. The
risk of air aspiration is reduced by performing this part of the
procedure with the patient performing the Valsalva maneuver.
5. Straighten “J ” tip of guidewire with tip straightener and insert
tapered end of tip straightener into the needle. Tip straightener
should not be advanced over the guidewire beyond the guidewire
tip.
Caution:
Do not insert guidewire beyond the bevel of the
needle while removing straightener from the needle hub in
order to prevent guidewire damage or shearing.
Remove the tip
straightener and advance the guidewire into the superior vena
cava. Advance the guidewire as far as appropriate for the procedure.
Verify correct positioning radiographically.
