Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study
Abstract 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 t...
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BMC
2023-01-01
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Series: | Patient Safety in Surgery |
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Online Access: | https://doi.org/10.1186/s13037-023-00351-2 |
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author | Samitha A. M. D. R. U. Senevirathne Hesitha K. V. Nimana Ratnasingam Pirannavan Poorni Fernando Karahin A. Salvin Udari A. Liyanage Ajith P. Malalasekera Yasith Mathangasinghe Dimonge J. Anthony |
author_facet | Samitha A. M. D. R. U. Senevirathne Hesitha K. V. Nimana Ratnasingam Pirannavan Poorni Fernando Karahin A. Salvin Udari A. Liyanage Ajith P. Malalasekera Yasith Mathangasinghe Dimonge J. Anthony |
author_sort | Samitha A. M. D. R. U. Senevirathne |
collection | DOAJ |
description | Abstract 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. |
first_indexed | 2024-04-10T19:40:39Z |
format | Article |
id | doaj.art-2d49ab5200c345579a3ace451ca94169 |
institution | Directory Open Access Journal |
issn | 1754-9493 |
language | English |
last_indexed | 2024-04-10T19:40:39Z |
publishDate | 2023-01-01 |
publisher | BMC |
record_format | Article |
series | Patient Safety in Surgery |
spelling | doaj.art-2d49ab5200c345579a3ace451ca941692023-01-29T12:19:14ZengBMCPatient Safety in Surgery1754-94932023-01-011711410.1186/s13037-023-00351-2Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric studySamitha A. M. D. R. U. Senevirathne0Hesitha K. V. Nimana1Ratnasingam Pirannavan2Poorni Fernando3Karahin A. Salvin4Udari A. Liyanage5Ajith P. Malalasekera6Yasith Mathangasinghe7Dimonge J. Anthony8Department of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Faculty of Medicine, University of KelaniyaDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboDepartment of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of ColomboAbstract 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.https://doi.org/10.1186/s13037-023-00351-2Great saphenous veinVenous accessCross-sectional anatomyVenous cutdownCannulationAnatomical landmarks |
spellingShingle | Samitha A. M. D. R. U. Senevirathne Hesitha K. V. Nimana Ratnasingam Pirannavan Poorni Fernando Karahin A. Salvin Udari A. Liyanage Ajith P. Malalasekera Yasith Mathangasinghe Dimonge J. Anthony Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study Patient Safety in Surgery Great saphenous vein Venous access Cross-sectional anatomy Venous cutdown Cannulation Anatomical landmarks |
title | Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study |
title_full | Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study |
title_fullStr | Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study |
title_full_unstemmed | Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study |
title_short | Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study |
title_sort | anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation a cadaveric study |
topic | Great saphenous vein Venous access Cross-sectional anatomy Venous cutdown Cannulation Anatomical landmarks |
url | https://doi.org/10.1186/s13037-023-00351-2 |
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