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Anatomic considerations in placement of central venous catheters
Author(s) -
Mathers Lawrence H.,
Smith David W.,
Frankel Lorry
Publication year - 1992
Publication title -
clinical anatomy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.667
H-Index - 71
eISSN - 1098-2353
pISSN - 0897-3806
DOI - 10.1002/ca.980050202
Subject(s) - medicine , central venous catheter , surgery , subclavian vein , axillary vein , catheter , femoral vein , venous access , internal jugular vein , thrombosis
A knowledge of anatomy is essential for efficient and skillful placement of central venous catheters in seriously ill patients. The anatomy of the femoral, brachial, axillary, subclavian, external jugular, and internal jugular veins is described, and landmarks useful in achieving successful cannulation are discussed. Infectious and thrombotic complications of long‐term cannulation are reviewed. Catheterization of the umbilical vein in the newborn infant is a very useful alternative approach to central venous cannulation in this age group.