8/12/2019 Anatomia Gatului

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8/12/2019 Anatomia Gatului

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47Root of the neck

3

4

106

3

4 10

6

5

13

7

1

11

149

8

12

3

4 10

14

9

122

A B C

Dissection of puncture of the right internal jugular vein between the

two heads of sternocleidomastoid, with the needle directed backwards

and slightly laterally.

Dissection of puncture of the right internal jugular vein at the posterior

border of sternocleidomastoid, with the needle directed towards the

jugular notch of the sternum.

Dissection of puncture of the right brachiocephalic vein, with the

needle directed towards the sternal angle.

A

B

C

1 Brachial plexus2 Brachiocephalic vein

3 Clavicle4 Clavicular head of sternocleidomastoid5 External jugular vein6 Internal jugular vein7 Omohyoid8 Phrenic nerve9 Scalenus anterior

10 Sternal head of sternocleidomastoid11 Subclavian artery12 Subclavian vein13 Superficial cervical artery14 Suprascapular artery

26

6

4

7

1

3

95 8

11

2

3 3

B

AC

D

Dissection of infraclavicular puncture of thesubclavian vein, from below the midpoint of the

clavicle on a line directed to just above the jugular notch.

Part of pectoralis major is detached from the clavicle and

the clavipectoral fascia divided to show the subclavian

vein deep to it and passing under cover of the clavicle.

1 Cephalic vein2 Clavicle3 Clavipectoral

fascia

4 Deltoid5 Lateral pectoral

nerve6 Pectoralis major

7 Pectoralis minor8 Subclavian vein9 Thoraco-acromial

vessels

Root of neck surface anatomy. A, B, C and D are

the puncture sites as shown above.

1 Clavicle 2 Sternum 3 Sternocleidomastoid

Root of the neck

D

D

E

E

Internal jugular vein catheterization, subclavian vein catheterization, see pp 90, 91.