Femoral Vein Cannulation
Femoral Vein Cannulation - Related Videos
10:45
Central Venous Catheter Insertion: Femoral Vein
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2023
Source: James W Bonz, MD, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Central venous access is necessary in a multitude of clinical situations, including vascular access, vasopressor and caustic medication delivery, central venous pressure monitoring, volume resuscitation, total parental nutrition, hemodialysis, and frequent phlebotomy. There are three veins in the body that are accessed for central venous cannulation: the internal jugular, the subclavian, and the...
06:42
A Murine Model of Arterial Restenosis: Technical Aspects of Femoral Wire Injury
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Cited by 17 •
2015
The mouse femoral artery wire injury model of restenosis is technically challenging. In this protocol we show the key technical details essential for successfully performing wire injury to induce consistent neointima for studies of restenosis.
07:51
Peripheral Venous Cannulation
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2023
Source: Sharon Bord, MD, Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Maryland, USA Placement of an intravenous (IV) catheter is one of the key procedures in medicine. The IV catheter allows patients to receive critical medications, including pain medicine, insulin, antibiotics, blood products, and fluids for rehydration. Additionally, placing an IV catheter allows for blood samples to be obtained, which can be sent to the laboratory for testing and...
02:05
Intraduodenal Cannulation in a Rat Model for Immunopathology Studies
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2025
This video demonstrates intraduodenal cannulation in a rat model. After anesthetizing the rat, the duodenum is located and a small puncture is created. A J-shaped cannula with a beveled tip is carefully inserted and secured, and the incision is closed. The cannulated rat model enables intra-intestinal infusion for immunopathology studies.
07:10
Femoral Bone Marrow Aspiration in Live Mice
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Cited by 18 •
2014
This protocol describes a procedure for serial sampling of femoral bone marrow (BM) without requiring the sacrifice of mice. This procedure facilitates longitudinal studies of the BM composition of mice over time and provides serial access to cells within the BM for ex vivo and transplantation studies.
FAQs
Success depends on accurate anatomical identification within the femoral triangle. The clinician must recognize the intended vein before needle entry, because misidentification can lead to arterial puncture or bleeding. This anatomical focus is especially important when rapid vascular access is needed, since errors can delay treatment and increase procedural risk.
Ultrasound can support femoral vein cannulation by helping the clinician identify the target vessel before puncture. Its value is greatest when surface landmarks are difficult to interpret or peripheral access is unsuccessful, because visual confirmation can guide anatomical selection and help reduce avoidable vessel-related complications during urgent care.
The Seldinger technique separates vessel entry from catheter placement. After the needle enters the vein, a guidewire is advanced, the catheter is threaded over that guidewire, and the catheter is then secured. This sequence provides a defined pathway for establishing access and organizes the steps between initial puncture and final catheter placement.
Sterile technique is a central safety measure during femoral vein cannulation. It helps reduce infection risk, while careful anatomical identification addresses arterial puncture and bleeding. Thrombosis is another possible complication, so clinicians must balance the need for access against procedural risks when selecting and maintaining this route.
A basic workflow begins with preparation for sterile access and identification of the femoral vein in the femoral triangle. The clinician then punctures the vein with a needle, advances a guidewire, threads the catheter, and secures it. Ultrasound may assist vessel identification. This sequence supports access when peripheral access is difficult or rapid access is required.
Once placed, the catheter can support several clinical tasks: fluid resuscitation, medication administration, blood sampling, and hemodynamic monitoring. These functions explain its value in emergency and critical care, particularly when peripheral access is difficult or rapid access is needed. Ongoing attention to infection, bleeding, and thrombosis remains important while using it.