subclavian approach

This image displays the standard components of a central line insertion kit arranged on a sterile field, showcasing the essential equipment required for this common yet specialized procedure in their typical order of use. Each labeled item plays a specific role in ensuring successful catheter placement while minimizing complications such as infection, pneumothorax, arterial puncture, or air embolism.

Tunneled central venous catheters (CVCs) represent a specialized type of long-term vascular access device designed for patients requiring extended intravenous therapy. Unlike standard central lines, tunneled CVCs feature a subcutaneous tract between the venous entry site and the exit point on the skin, providing enhanced infection protection and improved stability. The image illustrates the anatomical positioning of a tunneled CVC, showing its path from the external exit site through a subcutaneous tunnel, into the right subclavian vein, and ultimately terminating in the superior vena cava near the right atrium.