Infraclavicular Subclavian Vein Cannulation in a Pediatric Patient without Ultrasonographic Guidance prior to a Colon Interposition in Honduras during a Surgical Mission
Yoko Young Sang, MD¹; Caroll Alvarado Lemus, MD²; Domingo Alvear, MD^3
1Louisiana State University Shreveport
²Mario Catarino Rivas Hospital, Honduras
³World Surgical Foundation

Central venous access is a crucial aspect in the management of patients requiring long-term therapies, particularly surgical patients. These therapies include the administration of therapeutic agents, fluid administration, antibiotic therapy, parenteral nutrition, etc. The procedure involves the placement of a catheter into a venous great vessel. Three main sites for central venous access are: internal jugular vein, common femoral vein, and subclavian veins.

In resource-constrained settings, healthcare professionals must rely on their clinical practice and proficiency in performing procedures without the aid of advanced imaging modalities. One such procedure is the infraclavicular subclavian vein cannulation, which can be performed without ultrasonographic guidance, providing a reliable means of obtaining central venous access. Here, this is demonstrated on a pediatric preoperative patient during a surgical mission in Honduras.