eMedicine Specialties > Pediatrics: Surgery > Vascular Surgery
Vascular Access: Surgical Perspective: Multimedia
Updated: Oct 16, 2006
Multimedia
![]() | Media file 1: Percutaneous external jugular vein access. Note that the head is in the dependent position to allow for filling of the vein. |
![]() | Media file 2: Saphenous vein cutdown. Note the relationship of the saphenous vein to the medial malleolus. A linear incision is made perpendicular to the vein. |
![]() | Media file 5: Venous drainage of the bone marrow. The venous network of the bone marrow is used for intraosseous puncture to obtain vascular access. |
![]() | Media file 6: Lower-extremity anatomy for intraosseous vascular access. The intraosseous needle is placed approximately 1-3 cm below the tibial tuberosity. |
![]() | Media file 7: Percutaneous subclavian vascular access. Anatomic landmarks should be clearly identified before vascular access is attempted. The needle is guided toward the sternal notch. |
![]() | Media file 11: Algorithm for emergency venous access. IV = intravenous. |
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References
American College of Surgeons Committee on Trauma. Advanced Trauma Life Support Student Course Manual. 2004;7th ed.
Bagwell CE, Salzberg AM, Sonnino RE, et al. Potentially lethal complications of ventral venous catheter placement. J Ped Surgery. 2000;35(5):709-713. [Medline].
Chiang VW, Baskin MN. Uses and complications of central venous catheters inserted in a pediatric emergency department. Pediatric Emergency Care. 2000;16(4):230-232. [Medline].
Chung DH, Ziegler MM. Central venous catheter access. Nutrition. Jan 1998;14(1):119-23. [Medline].
Othersen HB Jr, Hebra A, Chessman KH, et al. Central lines in parenteral nutrition. In Baker RD Jr, Baker SS, Davis AM, eds. Pediatric Parenteral Nutrition. New York: Chapman and Hall;. 1997;254-71.
Smith R, Davis N, Bouamra O, Lecky F. The utilization of intraosseous infusion in the resuscitation of paediatric major trauma patients. Injury. Sep 2005;36(9):1034-8; discussion 1039.
Stovroff M, Teague WG. Intravenous access in infants and children. Pediatr Clin North Am. Dec 1998;45(6):1373-93, viii. [Medline].
Further Reading
Keywords
vascular access, intraosseous access, peripheral venous access, percutaneous peripheral catheters, peripheral venous cutdown catheters, intraosseous catheters, central venous access, peripheral intravenous central catheters, PICC lines, central venous catheters, percutaneous polyethylene catheters, silastic central venous catheters, implantable access ports, umbilical vascular access, arterial cannulation, complications of vascular access





















