Document Detail

Effect of hip abduction and external rotation on femoral vein exposure for possible cannulation.
MedLine Citation:
PMID:  17976787     Owner:  NLM     Status:  MEDLINE    
Femoral vein access is often required during resuscitation efforts and when other routes of intravenous access are difficult. This study evaluated by ultrasound the effect of abduction/external rotation of the hip on venous accessibility. This was a prospective repeated measurement study. The common femoral veins of 25 volunteers were scanned transversely inferior to the inguinal ligament with the leg straight and in external rotation/abduction. The diameter of the vein and percent accessible (not posterior to the femoral artery) were determined. Data were analyzed using repeated measures analysis of variance. The mean percentage of the femoral vein accessible with the leg in external rotation/abduction was greater than with the leg straight (82.6 +/- 20.3 vs. 70.4 +/- 26.3, respectively); p < 0.03. External rotation/abduction of the hip may improve the success rate of femoral vein cannulation by increasing the percentage of the femoral vein accessible.
Sandra L Werner; Robert A Jones; Charles L Emerman
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2007-08-29
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  35     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-24     Completed Date:  2008-08-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  73-5     Citation Subset:  IM    
MetroHealth Medical Center, Cleveland Clinic Foundation, Case Western Reserve University, Cleveland, Ohio 44109, USA.
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MeSH Terms
Analysis of Variance
Catheterization, Central Venous / methods*
Emergency Service, Hospital
Femoral Vein / anatomy & histology*,  ultrasonography
Hip Joint / physiology*
Range of Motion, Articular
Resuscitation / methods*

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