TY - JOUR
T1 - Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation
T2 - a cadaveric study
AU - Senevirathne, Samitha A.M.D.R.U.
AU - Nimana, Hesitha K.V.
AU - Pirannavan, Ratnasingam
AU - Fernando, Poorni
AU - Salvin, Karahin A.
AU - Liyanage, Udari A.
AU - Malalasekera, Ajith P.
AU - Mathangasinghe, Yasith
AU - Anthony, Dimonge J.
N1 - Funding Information:
The authors thank Mr. D.S.N.Susantha, Mr. D.L.Dimbulgasthenna, Mr. I.S.Sudath, Mr. W.A.W.D.P.Nawarathne and Mr. K.D.V.I.Viraj for their technical assistance and the deceased and their relatives for giving consent to conduct research studies on self-donated cadavers. The authors also thank Dr. H.D.N.T. Jayawardene for coordinating the process of cadaveric specimen transportation.
Publisher Copyright:
© 2023, The Author(s).
PY - 2023/1/23
Y1 - 2023/1/23
N2 - 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.
AB - 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.
KW - Anatomical landmarks
KW - Cannulation
KW - Cross-sectional anatomy
KW - Great saphenous vein
KW - Venous access
KW - Venous cutdown
UR - http://www.scopus.com/inward/record.url?scp=85146792386&partnerID=8YFLogxK
U2 - 10.1186/s13037-023-00351-2
DO - 10.1186/s13037-023-00351-2
M3 - Article
C2 - 36691095
AN - SCOPUS:85146792386
SN - 1754-9493
VL - 17
JO - Patient Safety in Surgery
JF - Patient Safety in Surgery
IS - 1
M1 - 2
ER -