TY  - CHAP
M1  - Book, Section
TI  - Chapter 54. Peripheral Venous Cutdown
A1  - Reichman, Eric F.
Y1  - 2013
N1  - 
T2  - Emergency Medicine Procedures, 2e
AB  - Venous  access  in  the  critically  ill  patient  is  of  the  utmost  importance.  The  literature  regarding  peripheral  venous  cutdowns  extends  back  to  1940  when  Keeley  introduced  this  technique  as  an  alternative  to  venipuncture  in  patients  with  shock.1  Interestingly,  there  has  been  a  noticeable  lack  of  recent  investigations  regarding  venous  cutdowns,  most  likely  due  to  the  focus  on  central  venous  access  via  the  Seldinger  technique  with  ultrasound  guidance  and  intraosseous  access.  Recent  editions  of  the  ATLS  text  refer  to  the  saphenous  venous  cutdown  as  an  optional  skill  to  be  taught  at  the  discretion  of  the  instructor.2  However,  despite  the  apparent  lack  of  popularity  of  the  peripheral  venous  cutdown,  the  importance  of  obtaining  venous  access  in  critically  ill  patients  supports  the  need  to  know  a  wide  variety  of  techniques  in  order  to  be  successful  in  every  situation.  The  steps  outlined  in  1940  by  Keeley  to  expose  and  cannulate  the  saphenous  vein  remain  mostly  unchanged.1  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/24
UR  - accessemergencymedicine.mhmedical.com/content.aspx?aid=57705568
ER  -