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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

• Intravenous therapy
• Central venous catheter
• Peripheral venous catheter

References

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