2021 AMI Online Salon

Exposure of Axillary Artery Below the Clavicle

Project Details

  • Entrant Name:  Elizabeth Weissbrod
  • Client: Dr. Mark Bowyer, USU Department of Surgery
  • Copyright: The Henry M. Jackson Foundation for the Advancement of Military Medicine, 2021
  • Medium/software used: Adobe Photoshop & Illustrator, Photography
  • Final presentation format: Microsoft PowerPoint and Printed Course Manual
  • Primary Audience: Surgeons

Project Description

The Advanced Surgical Skills for Exposure in Trauma (ASSET+) course provides a review of regionally designated surgical exposures in the neck, chest, abdomen, pelvis, and extremities. The printed course manual is provided prior to the course and graphic slides are used for short lectures in a fresh cadaver lab during the course as learners perform hands-on exposures under faculty guidance. These selected illustrations from the course depict key steps during the exposure of the axillary artery. Relevant anatomy and anatomical landmarks are reviewed to assist with ideal skin incision location. The incision is placed below the clavicle should it need to be extended into the arm. The pectoralis major muscle is quickly exposed just deep to the skin and separated along directional muscle fibers. This exposes the pectoralis minor muscle which is raised away from delicate underlying neurovasculature using a retractor and divided to quickly and safely expose the axillary artery.