Vascular access and implantable vascular and peritoneal access devices

Surgery 1. Prepare both sides of the neck and chest to the level

of the xyphoid process should the attempt on the right side fail.

2. Have the arms tucked on the side of the insertion. 3. In obese patients, a roll of towel can also be placed

between the shoulders to allow for easier access in the subclavian approach ( Fig. 1 ).