Why is venous cut down?
Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used to get vascular access in trauma and hypovolemic shock patients when peripheral cannulation is difficult or impossible. The saphenous vein is most commonly used.
Where is a venous cut down performed?
Common sites for peripheral venous cutdowns include the inner arm above the elbow (1), the inner thigh (2), and the inner ankle (3).
How do you do a venous cut down?
Venous cutdown is an emergency procedure where a physician surgically exposes the vein and inserts a cannula into the vein under direct vision. It is mostly done in cases of emergency where rapid access is required for intravenous (IV) fluid therapy.
What happens if you cut the great saphenous vein?
Potential complications of the venous cutdown technique include infection, failed cannulation, hemorrhage, nerve injury, and air embolism.
What is a cut down medical?
Medical Definition of cutdown : incision of a superficial blood vessel (as a vein) to facilitate insertion of a catheter (as for administration of fluids)
What is a basilic vein?
The basilic vein is the dominant drainage for the dorsum of the hand and passes proximally in the medial bicipital groove.
Why is saphenous cut down?
Saphenous vein cutdown is indicated for the purpose of emergency venous access (when attempts to gain access via peripheral or percutaneous routes have failed).
What does a cut down mean in surgery?
Is basilic vein deep or superficial?
The basilic and cephalic veins, which are superficial veins, contribute to the axillary vein, though many anatomic variations occur. After passing the outer margin of the first rib, the axillary vein continues as the subclavian vein.
What does the basilic vein branch off of?
basilic vein: branches upward and laterally from ulnar side of forearm to front of elbow, winding around ulnar border of forearm to join the brachial vein, which becomes the axillary vein. brachial artery: main artery of the arm that divides at the elbow into the radial and ulnar arteries.
What is saphenous nerve?
The saphenous nerve runs laterally alongside the saphenous vein, giving off a medial cutaneous nerve that supplies the skin of the anterior thigh and anteromedial leg. The saphenous nerve travels to the dorsum of the foot, medial malleolus, and the area of the head of the first metatarsal.