What does the medical term cutdown mean?

What does the medical term cutdown mean?

: incision of a superficial blood vessel (as a vein) to facilitate insertion of a catheter (as for administration of fluids)

How do you do a venous cutdown?


  1. Choose site.
  2. Apply tourniquet.
  3. Clean skin.
  4. Make shallow incision perpendicular to vein course.
  5. Bluntly dissect, isolate and mobilize the vein.
  6. Use a hemostat to isolate the vein, and pass silk ties under it, proximal and distal to the proposed cannulation site.

Where is the emergency vein?

Anatomic course of great saphenous vein. The small saphenous vein (SSV; also referred to as the lesser or short saphenous vein) does not directly anastomose with the GSV. It begins at the lateral aspect of the ankle and runs up the posterolateral lower leg to join the popliteal vein in the popliteal fossa.

Can you live without great saphenous vein?

98% of the blood returning to the heart from your legs does so through other leg veins in the deep system – so if the saphenous vein is not functioning properly, and left untreated, the venous circulation in the legs is less efficient and can lead to bigger problems.

What is cutdown procedure?

Venous cutdown is an emergency procedure where a physician surgically exposes the vein and inserts a cannula into the vein under direct vision. It is mostly done in cases of emergency where rapid access is required for intravenous (IV) fluid therapy.

Where do you put a central line?

Insertion of a Central Line The most common veins used for placement of a central line are the internal jugular in the neck, the subclavian vein near the clavicle, and the femoral vein in the groin. The patient is covered, typically from head to toe, with a sterile drape.

Which vein is most commonly prepared for Venesection or cut open procedure?

The greater saphenous vein (GSV) is the longest vein in the body and is the most common site for venous cutdown.

What is great saphenous vein?

The saphenous vein (otherwise known as the great saphenous vein or GSV) is the longest in the human body. It extends from the top of the foot to the upper thigh/groin area and like all veins, problems can occur.

Is stripping of veins safe?

Vein stripping is generally safe. Ask your provider about any problems that might occur. Risks of anesthesia and surgery in general are: Reactions to medicines.

What is stab avulsion?

Phlebectomy (also known as microphlebectomy, ambulatory phlebectomy, or stab avulsion) is a technique to remove varicose veins. In this procedure, several tiny cuts (incisions) are made in the skin through which the varicosed vein is removed. Stitches usually are not required.

How do you cut down a saphenous vein?

Make a 2.5-cm full-thickness transverse skin incision over the site. With the curved hemostat, bluntly dissect the subcutaneous tissue parallel to the course of the great saphenous vein (GSV; also referred to as the greater or long saphenous vein). Free the vein from its bed for a length of 2 cm.

When do you need a venous cutdown procedure?

Venous cutdown. Venous cutdown is an emergency procedure in which the vein is exposed surgically and then a cannula is inserted into the vein under direct vision. It is used to get vascular access in trauma and hypovolemic shock patients when peripheral cannulation is difficult or impossible. The saphenous vein is most commonly used.

When was 2.3 venous cutdown first described?

First described by Keeley in 1940 and Kirkham in 1945, 2, 3 venous cutdown offered an alternative to venipuncture in patients with shock.

What do you need to know about saphenous vein cutdown?

Saphenous Vein Cutdown 1 Background. Intravenous (IV) access is one of the crucial first steps in the resuscitation… 2 Indications. Saphenous vein cutdown is indicated for the purpose of emergency venous access… 3 Contraindications. 4 Technical Considerations. At the ankle, the GSV crosses 1 cm anterior to…

How is a cannula inserted in a venous cutdown?

The vessel is tied closed distally, the proximal portion is transected (venotomy) and gently dilated, and a cannula is introduced through the venotomy and secured in place with a more proximal ligature around the vein and cannula. An intravenous line is connected to the cannula to complete the procedure.

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