Anatomic description of the distal great saphenous vein to facilitate peripheral venous access during resuscitation: a cadaveric study

Patient Safety in Surgery

Brief Report

Karahin A. Salvin¹  Ratnasingam Pirannavan²  Ajith P. Malalasekera²  Samitha A. M. D. R. U. Senevirathne²  Udari A. Liyanage²  Yasith Mathangasinghe²  Poorni Fernando²  Dimonge J. Anthony²  Hesitha K. V. Nimana² 

[1] Department of Anatomy, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka;Department of Anatomy, Genetics and Biomedical Informatics, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka;

关键词: Great saphenous vein;    Venous access;    Cross-sectional anatomy;    Venous cutdown;    Cannulation;    Anatomical landmarks;   

DOI  :  10.1186/s13037-023-00351-2

 received in 2022-11-26, accepted in 2023-01-02,  发布年份 2023

来源: Springer

【 摘 要 】

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.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

Fig. 4

Fig. 3