An often overlooked way to manage venous access for patients that cannot be catheterized through more conventional routes. The complexity of this method is overstated; morbidity is very low. All that is needed are spinal needles.

Past hip region surgeries may affect the anatomy (FHO) or suitability of this technique (Total Hip Replacement) at a given site.

Whenever we use this technique we kick ourselves that we don't use it more often as it is so simple to do and it works so well whether for IV fluids (including shock therapy), IV medications, or IV anesthetics.