hey rushad
well the only one place where i know venous cutdowns are good to do is in burns... and that too where significant expertise or area of body is unavailable for a central venous access.
central lines are far easier to do.
but then again... a peripheral venous access is always the best for fluid resusc.
remember the rate of the fluid flow is indirectly proportional to the length of the catheter placed.
so as for my clinical practice i would resist from doing a peripheral venous cutdown.
And leave footprints in the sands of time.......
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