Locating Femoral Vein by Anatomic Landmarks: A Cadaveric Study.

Area of Science:

• Anatomy
• Vascular Access
• Medical Imaging

Background:

• The femoral vein is crucial for intravenous access during emergencies or difficult peripheral access.
• Commonly located via femoral arterial pulse or 'V' technique.
• Anatomical landmarks offer alternative localization when pulses are non-palpable.

Purpose of the Study:

• To establish precise anatomical measurements for femoral vein cannulation.
• To provide data for locating the femoral vein when palpation is challenging.
• To aid clinicians in difficult femoral vein access procedures.

Main Methods:

• Dissection of 54 cadaveric lower limbs.
• Measurement of femoral vein distances from the anterior superior iliac spine and symphysis pubis.
• Measurement of femoral vein depth from the skin surface.

Main Results:

• Mean distance from anterior superior iliac spine: 80.16±8.96 mm.
• Mean distance from symphysis pubis: 66.77±11.08 mm.
• Mean skin surface depth: 20.93±8.84 mm; greater in females (statistically significant).

Conclusions:

• Provides valuable anatomical data for femoral vein cannulation.
• Useful in challenging cases lacking radiological monitoring.
• Enhances safety and success rates for femoral vein access.