Emergency access to the subclavian vessels by non-thoracic surgeons: a cadaver-based learning model for orthopedic trauma surgery
By
Peter Grechenig
Axel Gänsslen
Jan Dauwe
Ulrike Wittig
Maximilian Sagmeister
Amir Koutp
Paul Puchwein
Patrick Sadoghi
Gloria Hohenberger
June 3, 2026
Clinical Scorecard: Non-thoracic Surgeons' Emergency Access to Subclavian Vessels: A Cadaveric Training Model for Orthopedic Trauma Procedures
At a Glance
Category Detail
Condition Subclavian artery injuries Key Mechanisms High mortality rate associated with hemorrhagic shock; technical challenges in surgical exposure. Target Population Orthopedic trauma surgeons, residents, specialists, and attendings. Care Setting Cadaveric training workshops.
Key Highlights
Subclavian artery injuries account for 1-2% of vascular injuries. 20% of patients present without vital signs due to hemorrhagic shock. Concomitant brachial plexus injuries occur in one third of cases. Cadaveric workshops improve surgical skill acquisition. Procedural performance correlates with clinical seniority and experience. Guideline-Based Recommendations
Diagnosis
Rapid diagnostics are essential for subclavian artery injuries. Management
Immediate damage control vascular procedures are required for complex upper extremity injuries. Monitoring & Follow-up
Monitor for complications such as vascular and nerve injuries. Risks
Potential complications include injuries to the subclavian artery, subclavian vein, and brachial plexus. Patient & Prescribing Data
Patients with subclavian artery injuries, particularly in trauma settings.
Definitive surgical hemorrhage control is technically demanding.
Clinical Best Practices
Utilize structured trauma care systems and standardized protocols. Incorporate cadaveric training for skill development in emergency procedures. Emphasize rapid access and identification of vascular structures in trauma. Related Resources & Content
