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Venous cutdown is a medical procedure that involves the dissection of a vein, followed by the insertion of a cannula or tube. This procedure is typically performed when a peripheral intravenous cannulation is not possible or contraindicated.
Indications
The venous cutdown procedure is usually indicated in the following situations:
- When peripheral intravenous access is not possible due to conditions such as shock, severe dehydration, or obesity.
- In patients with difficult venous access due to scarring or damage from previous intravenous lines or drug abuse.
- In emergency situations when rapid intravenous access is required.
Procedure
The venous cutdown procedure is typically performed under local anesthesia. The vein is dissected and a cannula or tube is inserted into the vein. The cannula is then secured in place and the incision is closed.
Complications
Possible complications of the venous cutdown procedure include:
- Infection
- Thrombosis
- Damage to nearby structures
- Hematoma or bleeding
- Failure to gain access
See also
References
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Contributors: Prab R. Tumpati, MD