In this section
The preferred site is the anterior tuberosity, 2-3 cm below the tibial tuberosity (the anteromedial flat part of the tibia).
If the Tibia is fractured, an alternate site is the inferior part of the femur, 3 cm above the external condyle.
Insertion of needle:
Venous cutdown should be performed only as a last resort for venous access.
The advantage is that with IV cutdown, a large-bore cannula can be inserted under direct vision. Usually using the long saphenous the procedure may be carried out away from and therefore not interfering with the on-going resuscitation
The distal saphenous vein in the ankle is the most common site for a venous cutdown. The saphenous vein is just anterior to the medial malleolus.