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Which of the following is TRUE about femoral anatomy in pediatric patients?

a) The femoral vein should be accessed above the inguinal ligament to assure adequate size of the vessel.

b) The femoral vein is located lateral to the femoral nerve

c) The femoral artery is located lateral to the femoral vein

d) The femoral artery is located lateral to the femoral nerve

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Answer

Answer c. Needle sticks above the inguinal ligament increase the risk for retroperitoneal hematoma associated with femoral central venous line placement. Knowledge of the relative position of femoral artery, vein and nerve are important, especially if obtaining venous access without ultrasound guidance. The nerve is lateral to the artery, which in turn is lateral to the vein.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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