Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study.
Anatomical landmarks
Cannulation
Cross-sectional anatomy
Great saphenous vein
Venous access
Venous cutdown
Journal
Patient safety in surgery
ISSN: 1754-9493
Titre abrégé: Patient Saf Surg
Pays: England
ID NLM: 101319176
Informations de publication
Date de publication:
23 Jan 2023
23 Jan 2023
Historique:
received:
26
11
2022
accepted:
02
01
2023
entrez:
23
1
2023
pubmed:
24
1
2023
medline:
24
1
2023
Statut:
epublish
Résumé
The distal great saphenous vein is a popular site for venous access by means of percutaneous cannulation or venous cutdown in a hemodynamically unstable patient. The aim of this study was to precisely define the surface anatomy and dimensions of the distal part of the great saphenous vein to facilitate the aforementioned procedures. Cross-sectional anatomy of the distal saphenous vein was studied in 24 cadaveric ankles sectioned at a horizontal plane across the most prominent points of the medial and lateral malleoli. The curvilinear distance from the most prominent point of the medial malleolus to the center of the saphenous vein, its widest collapsed diameter and skin depth were obtained. The great saphenous vein was located at a mean distance of 24.4 ± 7.9 mm anterior to the medial malleolus. The mean widest collapsed diameter was 3.8 ± 1.5 mm. The mean distance from the skin surface to the vein was 4.1 ± 1.2 mm. These measurements could be used to locate the saphenous vein accurately, particularly in hemodynamically unstable patients with visually indiscernible veins.
Identifiants
pubmed: 36691095
doi: 10.1186/s13037-023-00351-2
pii: 10.1186/s13037-023-00351-2
pmc: PMC9872368
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2Informations de copyright
© 2023. The Author(s).
Références
Nutr Rev. 2020 Jun 1;78(6):498-513
pubmed: 31841153
Australas J Ultrasound Med. 2009 Feb;12(1):28-31
pubmed: 28191047
Ann Emerg Med. 1994 Mar;23(3):541-5
pubmed: 8135430
J Plast Reconstr Aesthet Surg. 2020 Jun;73(6):1174-1205
pubmed: 32014395
Cochrane Database Syst Rev. 2015 Feb 26;(2):CD011386
pubmed: 25914907
Eur J Vasc Endovasc Surg. 2007 Sep;34(3):361-6
pubmed: 17513142
Eur J Vasc Endovasc Surg. 2019 Jul;58(1):96-103
pubmed: 30343991
Br J Nutr. 2015 Dec 14;114(11):1852-67
pubmed: 26435103
J Hand Surg Eur Vol. 2019 Nov;44(9):932-936
pubmed: 31042104
J Thorac Cardiovasc Surg. 2009 May;137(5):1101-8
pubmed: 19379974
J Anesth. 2022 Oct;36(5):663-664
pubmed: 35482155
J Emerg Med. 1985;3(5):395-9
pubmed: 3835194