Title: Different insertion techniques of subclavian central lines, driven by POCUS

Biography:

Philipp Willingshofer has received his medical doctorate from the Medical University in Graz in 2008. After having had worked in the Emergency Department in Washington D.C., USA, he did his residency in Anaesthesia and Critical Care in Austria. During this time he was granted the “Trainee Exchange Programme” award of the European society of Anaesthesiology and was therefore able to do an internship in cardiac anaesthesia at the Royal Papworth Hospital in Cambridge, UK. He finished his residency in 2015 and received the European Diploma in Anaesthesia and Critical Care (EDAIC) and the European Diploma in Intensive Care Medicine (EDIC) in 2016 and 2019. He is therefore certified by the European Society of Anaesthesiology (ESA) and the European Society of Intensive Care Medicine (ESICM). He is finishing a postgraduate University Programme in Medical Law in July 2020. He is currently working at the Kepler University Clinic in Linz and as a prehospital Emergency Physician in Austria and his special interests are Intensive Care Medicine, Cardiac Anaesthesia, Emergency Medicine and the use of ultrasound in those fields.   

Abstract

The insertion technique of subclavian central lines has seen some variations since it`s early description. Many of these changes resulted from the increasingly popular use of POCUS (point of care ultrasound).  My talk, at the 2020 International Conference on Critical Care and Emergency Medicine in Dubai, aims to give an overview over the different methods of subclavian central line insertion. It will cover the variations when using landmark based techniques, as well as ultrasound guided supraclavicular and infraclavicular approaches and the ultrasound based “PART” technique. It will conclude with an ultrasound-only way to confirm the correct position of central lines.