Venous cutdown
You don't need to be Editor-In-Chief to add or edit content to WikiDoc. You can begin to add to or edit text on this WikiDoc page by clicking on the edit button at the top of this page. Next enter or edit the information that you would like to appear here. Once you are done editing, scroll down and click the Save page button at the bottom of the page.
| Intervention: Venous cutdown | ||
|---|---|---|
| ICD-10 code: | ||
| ICD-9 code: | 38.94 | |
| MeSH | D016748 | |
| Other codes: | ||
|
WikiDoc Resources for Venous cutdown | |
|
Articles | |
|---|---|
|
Most recent articles on Venous cutdown Most cited articles on Venous cutdown | |
|
Media | |
|
Powerpoint slides on Venous cutdown | |
|
Evidence Based Medicine | |
|
Clinical Trials | |
|
Ongoing Trials on Venous cutdown at Clinical Trials.gov Trial results on Venous cutdown Clinical Trials on Venous cutdown at Google
| |
|
Guidelines / Policies / Govt | |
|
US National Guidelines Clearinghouse on Venous cutdown NICE Guidance on Venous cutdown
| |
|
Books | |
|
News | |
|
Commentary | |
|
Definitions | |
|
Patient Resources / Community | |
|
Patient resources on Venous cutdown Discussion groups on Venous cutdown Patient Handouts on Venous cutdown Directions to Hospitals Treating Venous cutdown Risk calculators and risk factors for Venous cutdown
| |
|
Healthcare Provider Resources | |
|
Causes & Risk Factors for Venous cutdown | |
|
Continuing Medical Education (CME) | |
|
International | |
|
| |
|
Businness | |
|
Experimental / Informatics | |
Please Take Over This Page and Apply to be Editor-In-Chief for this topic: There can be one or more than one Editor-In-Chief. You may also apply to be an Associate Editor-In-Chief of one of the subtopics below. Please mail us [1] to indicate your interest in serving either as an Editor-In-Chief of the entire topic or as an Associate Editor-In-Chief for a subtopic. Please be sure to attach your CV and or biographical sketch.
Venous cutdown is an emergency procedure to get vascular access, in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used in trauma and hypovolemic shock, when peripheral cannulation is difficult or impossible. The saphenous vein is commonly used, but antecubital and femoral vessels are also suitable. Complications of venous cutdown include cellulitis, hematoma, phlebitis, perforation of the posterior wall of the vein, venous thrombosis and nerve and arterial transection.
- 1. Prepare the skin of the ankle with antiseptic solution and drape the area
- 2. Infiltrate the skin if time permits
- 3. Identify the surface anatomy of the greater saphenous vein: 2 cm anterior and superior of the medial malleolus. Perform a full-thickness transverse skin incision of 2,5 cm
- 4. Identify the vein with blunt dissection and dissect it free from the accompanying structures.
- 5. Elevate and dissect the vein for a distance of approximately 2-cm, to free it from its bed.
- 6. Ligate the distal, mobilized vein, leaving the suture in place for traction
- 7. Pass a tie about the vein more proximally
- 8. Make a small transverse incision (venotomy) and gently dilate the venotomy with the tip of a closed hemostat.
- 9. Introduce a cannula through the venotomy and secure it in place by tying the upper ligature about the vein and cannula. The cannula should be inserted an adequate distance to prevent dislodging.
- 10. Attach the intravenous line to the cannula.
References
- McIntosh B, Dulchavsky S (1992). "Peripheral vascular cutdown.". Crit Care Clin 8 (4): 807-18. PMID 1393752.
External links
Health Science – Medicine - Surgery - Vascular surgery procedures | |
|---|---|
| Aortic aneurysm / dissection | Open AAA repair - Endoluminal AAA repair (EVAR) |
| Carotid stenosis | Carotid endarterectomy - Carotid stenting |
| Varicose veins | Ambulatory phlebectomy - Laser ablation - Sclerotherapy - Vein stripping |
| Peripheral arterial occlusive disease | Angioplasty with/out Stenting - Balloon embolectomy - Peripheral arterial bypass surgery - Thrombectomy |
| Liver cirrhosis | Transjugular intrahepatic portosystemic shunt (TIPS) - Distal splenorenal shunt procedure |
| Other vascular procedures | Venous cutdown - Cardiopulmonary bypass - Cardioplegia - Extracorporeal membrane oxygenation |
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
