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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Main Authors: 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
Format: Article
Language:English
Published: BMC 2023-01-01
Series:Patient Safety in Surgery
Subjects:
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.
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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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