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TIRBO #11: Mastering wire guidance

Critical Care Scenarios

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How to Insert a Right Subclavian Vein Into the Heart

Use your j to sort of steer past any vascular confluences. The most complex one here is going to be a left eye. You're starting out again facing upwards. Then you're going to immediately want to turn it to the right, so that it heads towards the heart and not into the left sub clavian man. And then once it's made that turn, you're actually want to flip it a hundred, 80 degrees,. So instead of moving into the right subclavian vein, or, god forbid, up the right e, j, that would be very weird. But weirder things have happened, you want to make the turn downwards towards the heart,

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