Operative steps for ultrasound-guided femoral venous catheterization
May 24, 2023
Source: Cainiu Health
Dr. Li Feng
Introduction
Femoral venous catheterization primarily involves puncturing the femoral vein at the groin area and then inserting a catheter into the femoral vein. This procedure is highly specialized and should be performed under the guidance of a qualified physician to avoid causing bodily harm. After the procedure, adequate rest and a light diet are recommended to promote recovery.
Generally, femoral venous catheterization primarily involves selecting the femoral vein at the groin area as the puncture site. After puncturing, a catheter is inserted into the femoral vein. The specific procedure is as follows:
1. Position the patient supine. Use ultrasound to accurately locate the puncture site, typically 2–3 cm below the inguinal ligament.
2. Disinfect the skin around the puncture site, administer local infiltration anesthesia, and drape with sterile towels.
3. Insert the puncture needle into the femoral vein and advance a guidewire into the vein.
4. Insert a dilator over the guidewire to expand the skin at the puncture site.
5. Remove the dilator and insert the femoral venous catheter.
6. Withdraw the guidewire and secure the catheter properly.
7. Suture the wound, disinfect the area, and cover it with a sterile dressing.
This procedure requires professional expertise. It is recommended to perform the procedure under the guidance of a qualified physician to avoid causing bodily harm. After the procedure, ensure adequate rest and maintain a light diet.
