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Locating Femoral Vein by Anatomic Landmarks: A Cadaveric Study
Anasuya Ghosh1, Satabdi Sarkar1, Yashu Bhardwaj2
1Anatomy, All India Institute of Medical Sciences, Kalyani, Kalyani, IND.
Background:
In circumstances of emergency or challenging peripheral access, the femoral vein serves as a vital intravenous access channel. The vein is commonly located by palpating the femoral arterial pulse inferior to the mid-inguinal point or by the 'V' technique. As femoral arterial pulse may not be non-palpable in some cases, some distances from nearby anatomic landmarks might help to locate the femoral vein for cannulation.
Materials And Methods:
In 54 dissected cadaveric lower limbs, the distances of the femoral vein from the anterior superior iliac spine, the symphysis pubis, and the skin surface were measured to prepare a dataset for locating the vein with the help of these data. The values were statistically analyzed.
Result:
The mean distance of the femoral vein from the anterior superior iliac spine was 80.16±8.96 mm, the mean distance from the symphysis pubis was 66.77±11.08 mm, and the mean depth of the femoral vein from the skin surface was 20.93±8.84 mm. All the distances and skin depths were higher in female limbs; however, only the depth from the skin surface was statistically significant across the genders.
Conclusion:
These datasets might be useful as additional support while performing femoral vein cannulation in complicated and challenging cases where the facility of radiological monitoring is not available.
