3 1
M O N T H 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E
the process much less risky.
While the design and construction of the safety catheter is largely intended to
protect the provider, some versions of the product have seen the addition of a
silicone coating on the catheter. This is said to improve its slide, allowing it to
V A S C U L A R A C C E S S
•
The
upper cephalic vein
lies above
the antecubital space. It's often diffi-
cult to visualize and stabilize, but can
accommodate 22- to 16-gauge
catheters. Reserve this vein for mid-
line or peripherally inserted central
catheters.
•
The
accessory cephalic
vein branches off the cephalic vein and is located on the
top of the forearm. It's easy to stabilize and can accommodate 22- to 18-gauge
catheters.
•
The forearm's
median vein
empties into the basilic vein after originating in the
palm. It's easy to stabilize and can accommodate 24- to 20-gauge catheters.
•
The
median cubital
vein is located in the antecubital fossa. It's generally used to
draw blood and isn't an ideal location for IV starts, as related complications are
hard to detect and render the veins below the site useless.
•
The
basilic vein
lies along the medial side of the arm. It's easy to see, but difficult
to stabilize, making it an often-ignored location for IV starts.
•
The
lateral cephalic
vein is located along the lateral side of the arm. It's easy to
access and can accommodate 22- to 16-gauge catheters. Puncture the vein 4 to 5
inches above the wrist to avoid the radial nerve.
• Metacarpal
and
dorsal veins
on top of the hand are easy to spot and can accom-
modate 24- to 20-gauge catheters, making them good sites for IV starts.
Source: Nursing, August 2007
: tinyurl.com/maw8syn
BASIC
ANATOMY
Do You Know Your Veins?
ON TARGET Metacarpal and dorsal
veins
are easy to spot, even in the elder-
ly, making them good sites for IV starts.
Standard de!nition
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©2013 Christie Medical Holdings Inc. 010-200177-02 Rev. 1 (08-2013)
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