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long saphenous intravenous access neonate the long saphenous vein is large can often be palpated and is commonly located at the same place on the ankle itamp;#39;s lies anterior to the medial malleolus over the inner ankle and runs medially inside up towards the knee occlude vein higher used torniquet or assistant hold foot firmly stretch skin tight and identify vein direct the cannula along the line of the lower leg at a shallow angle puncture the skin pause and advance the cannula gentle persistence may be needed to puncture the vein keep the needle tip beneath the skin with each advance once blood is seen in the hub withdraw the needle a small way only and advance the cannula over the needle into the vein you attached intravenous connector and flush cannula dispose of sharp safely and fix cannula you