Assessment of morphological variations in superficial veins of upper limb with or without artificial discoloration of skin using Near-Infrared Illumination device in adults (Hyderabad region)

Authors

  • Gul Roopchand Nankani Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Samreen Memon Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Pashmina Shaikh Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Umbreen Bano Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Sana Farukh Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Sameena Gul Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Muhammad Yaqoob Shahani Liaquat University of Medical & Health Sciences, Jamshoro, Sindh.
  • Neeta Maheshwary Helix Pharma

Keywords:

Cubital fossa, Near-infrared illumination device, Superficial veins, Hand dorsum

Abstract

Objective: Venous puncture is the process of obtaining intravenous access to get blood samples. Superficial veins of Upper-Limb, mainly dorsal metacarpal veins and median cubital veins are the commonest site for access. In order to get acquaintance about anatomic variation to perform safe venous puncture, the main objective of this study was to examine the variations in superficial veins of upper limb by using Near-Infrared Illumination Device. Methodology: This was a cross-sectional study. It was conducted in the Department of Anatomy of Liaquat University of Medical & Health Sciences (LUMHS) by using non-probability convenience sampling technique. The duration was about six months.  A sample size of 50 participants (100 records of both limbs) has been documented. Staff and students of LUMHS of both genders; with the age ranging from 18-60 years, were included in the study. Tourniquet/Blood Pressure monitor cuff application was applied to visualize superficial cubital veins. Another technique of Near-infrared illumination device (sure view vein illumination system ZD-JM-260-01) was applied to observe superficial veins of hand dorsum in adults with and without Hinna (Mehndi) causing artificial discoloration of skin. Results: The Study results showed that 46(92.0%) of the total participants reported Type A right arm cubital fossa. 47(94.0%) reported Type A left cubital fossa. 15(30.0%) of the male participants had Type 6 Right hand dorsum venous arrangement. Likewise, 5(10.0%) of the female participants had Type 6 right hand dorsum venous arrangement. 14(28.0%) male participants had Type 6 Left hand dorsum venous arrangement. Similarly, 7(14.0%) males had Type 2, and 13(26.0%) males had Type 3 left hand dorsum venous arrangements. Likewise, 5(10.0%) of the female participants had Type 3 left hand dorsum venous arrangement. Moreover, 03 adult females presented with Henna (Mehndi) already applied on dorsum of hands and superficial veins were as visible as in rest of subjects without application of Henna (Mehndi). Conclusion: This study concluded that there was no difference seen in the venous pattern of participants on the basis of gender. Furthermore, Type-A was observed most frequently in venous arrangement in cubital fossa of both left and right arms of the participants, while Type 6 was the most generally observed type in hand dorsum of both right and left arms. Moreover. artificial discoloration of skin caused by Henna (Mehndi) did not seem to effect the visibility of vein structure.

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Published

2024-04-21

How to Cite

1.
Nankani GR, Memon S, Shaikh P, Bano U, Farukh S, Gul S, Shahani MY, Maheshwary N. Assessment of morphological variations in superficial veins of upper limb with or without artificial discoloration of skin using Near-Infrared Illumination device in adults (Hyderabad region). J Pak Assoc Dermatol [Internet]. 2024Apr.21 [cited 2024May22];34(2):493-9. Available from: https://jpad.com.pk/index.php/jpad/article/view/2407

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