Distal greater saphenous vein cutdown--technique of choice for rapid volume resuscitation

Rapid fluid administration is essential for the successful resuscitation of hemorrhagic shock. Distal greater saphenous vein cutdown provides quick venous access for rapid volume repletion. The advantages of this simple technique include the physical characteristics of the vessel and its location. In rare instances use of the distal greater saphenous vein may be contraindicated, but in the vast majority of cases it is the cutdown procedure of choice for fluid resuscitation in the critically injured.