RT Book, Section
A1 Rotoli, Jason M.
A1 Nobay, Flavia
A2 Reichman, Eric F.
SR Print(0)
ID 1159798628
T1 Peripheral Venous Cutdown
T2 Reichman's Emergency Medicine Procedures, 3e
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9781259861925
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159798628
RD 2024/04/23
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  There  has  been  a  noticeable  lack  of  recent  investigations  regarding  venous  cutdowns.  This  is  most  likely  due  to  the  focus  on  central  venous  access  with  ultrasound  guidance  and  intraosseous  access.  Recent  editions  of  the  Advanced  Trauma  Life  Support  (ATLS)  text  refer  to  the  saphenous  venous  cutdown  as  an  optional  skill  to  be  taught  at  the  discretion  of  the  instructor.2  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.3  The  steps  outlined  in  1940  by  Keeley  to  expose  and  cannulate  the  saphenous  vein  remain  mostly  unchanged.1