When is venous cutdown indicated in the management of pediatric dehydration?

Updated: Nov 12, 2018
  • Author: Alex Koyfman, MD; Chief Editor: Muhammad Waseem, MBBS, MS, FAAP, FACEP, FAHA  more...
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Answer

Use venous cutdown for emergent access and resuscitation only when intraosseous access is not available or fails. Safe performance depends on the skill of the provider. The typical site is the distal saphenous vein, which is anterior and superior to the medial malleolus.


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