Femoral Vein Anatomy
- continuation of the popliteal vein
- lies in the intermediate compartment of the femoral sheath
- accompanies the femoral artery in the femoral triangle
- at the inguinal ligament it becomes the external iliac vein
- superior: inguinal ligament
- medial border: adductor longus
- lateral border: sartorius
- apex: sartorius crossing the adductor longus muscle
- roof: skin subcutaneous tissue, the cribriform fascia and the fascia lata
- floor: adductor longus, adductor brevis, pectineus and iliopsoas muscles
- anterior superior iliac spine (ASIS)
- pubic ramus
- inguinal ligament
- femoral sheath
- medially -> laterally (vein, artery, nerve)
- 1cm below inguinal ligament
- 1cm medial to femoral arterial pulsation
STRUCTURES NEEDLE PASSES THROUGH (superficial -> deep)
- subcutaneous tissue
- fascia (encloses the femoral vessels)
- femoral vein
- medial: medial compartment of femoral sheath (femoral canal – lymph vessels, nodes and fatty tissue)
- lateral: fibrous septum separating intermediate compartment and lateral compartment (containing femoral artery) and further lateral = femoral nerve
- posterior: posterior fascia and pectineus
References and Links
Textbooks and Journal articles
Social media and web resources
Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors for the Intensive Care Foundation and is a First Part Examiner for the College of Intensive Care Medicine. He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives.
After finishing his medical degree at the University of Auckland, he continued post-graduate training in New Zealand as well as Australia’s Northern Territory, Perth and Melbourne. He has completed fellowship training in both intensive care medicine and emergency medicine, as well as post-graduate training in biochemistry, clinical toxicology, clinical epidemiology, and health professional education.
He is actively involved in in using translational simulation to improve patient care and the design of processes and systems at Alfred Health. He coordinates the Alfred ICU’s education and simulation programmes and runs the unit’s education website, INTENSIVE. He created the ‘Critically Ill Airway’ course and teaches on numerous courses around the world. He is one of the founders of the FOAM movement (Free Open-Access Medical education) and is co-creator of litfl.com, the RAGE podcast, the Resuscitology course, and the SMACC conference.
His one great achievement is being the father of three amazing children.
On Twitter, he is @precordialthump.