Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Peripheral vascular cutdown.

B B McIntosh1, S A Dulchavsky

  • 1Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan.

Critical Care Clinics
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Lower body negative pressure reduces jugular and portal vein volumes and counteracts the elevation of middle cerebral vein velocity during long-duration spaceflight.

Journal of applied physiology (Bethesda, Md. : 1985)·2021
Same author

Growth inhibitory and apoptosis-inducing effects of xanthohumol, a prenylated chalone present in hops, in human prostate cancer cells.

Anticancer research·2010
Same author

Snowboarding injuries: a review of the literature and an analysis of the potential use of portable ultrasound for mountainside diagnostics.

Current reviews in musculoskeletal medicine·2009
Same author

Diagnostic ultrasound at MACH 20: retroperitoneal and pelvic imaging in space.

Ultrasound in medicine & biology·2009
Same author

Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the Extended Focused Assessment with Sonography for Trauma (EFAST).

The Journal of trauma·2004
Same author

Percutaneous aspiration of fluid for management of peritonitis in space.

Aviation, space, and environmental medicine·2002
Same journal

Critical Care and Contagion: Evolving Frontiers of Infectious Diseases in the Modern Intensive Care Unit.

Critical care clinics·2026
Same journal

Advances and Challenges in Sepsis Care in Low-Resource Settings.

Critical care clinics·2026
Same journal

The Respiratory Triple Pandemic in the Intensive Care Unit: Epidemiology, Clinical Features and Management of COVID-19, Influenza and Respiratory Syncytial Virus.

Critical care clinics·2026
Same journal

Antibiotic Stewardship for the Intensivist.

Critical care clinics·2026
Same journal

Infection Prevention and Control in the Intensive Care Unit.

Critical care clinics·2026
Same journal

Antibiotic Considerations in the Critically Ill: Empiric Choices and Dosing.

Critical care clinics·2026
See all related articles

Surgical cutdown provides essential vascular access for critically ill patients. Meticulous technique minimizes risks, making this invasive procedure a vital option when percutaneous lines are not feasible.

Area of Science:

  • Vascular Surgery
  • Critical Care Medicine
  • Interventional Procedures

Background:

  • Critically ill patients often require arterial and venous lines for monitoring and treatment.
  • Percutaneous placement of these lines may not be feasible in all patients.
  • Surgical cutdown is an alternative invasive method for achieving intravascular access.

Purpose of the Study:

  • To evaluate the safety and efficacy of surgical cutdown for arterial and venous line placement in critically ill patients.
  • To highlight techniques that minimize complications associated with surgical cutdown.
  • To compare the risks and benefits of surgical cutdown versus percutaneous line placement.

Main Methods:

  • Review of surgical cutdown procedures for arterial and venous line placement.

Related Experiment Videos

  • Analysis of potential complications, including vessel injury and associated structures.
  • Discussion of techniques for site selection and catheter care.
  • Assessment of sequelae such as infection, ischemia, and vessel ligation.

    • Main Results:

    • Meticulous surgical technique can significantly minimize complications during arterial and venous cutdown.
    • Proper site selection and catheter care can extend the functional longevity of cutdown catheters.
    • While risks like infection and ischemia are increased, the necessity for vascular access often justifies the procedure.

    Conclusions:

    • Surgical cutdown is a necessary and effective method for establishing intravascular access in critically ill patients unsuitable for percutaneous lines.
    • Careful surgical technique and management are crucial for optimizing outcomes and mitigating risks.
    • The benefits of achieving essential vascular access outweigh the potential complications in select patient populations.