Ultrasound-guided central venous access for patients in the Intensive Care Unit in prone position: report of three cases
Bruno Manuel Marques Lima, Linda Cheung
Abstract
The prone position is extensively used to improve oxygenation in patients with severe acute respiratory distress syndrome caused by SARS-CoV-2 pneumonia. Occasionally, these patients exhibit cardiac and respiratory functions so severely compromised they cannot tolerate lying in the supine position, not even for the time required to insert a central venous catheter. The authors describe three cases of successful ultrasound-guided internal jugular vein cannulation in prone position. The alternative approach here described enables greater safety and well-being for the patient, reduces the number of episodes of decompensation, and risk of tracheal extubation and loss of in-situ vascular lines.
Keywords
References
1. C Guérin, J Reignier, JC Richard, et al. Prone positioning in severe acute respiratory distress syndrome N Engl J Med, 368 (2013), pp. 2159-2168
2. M Mittermaier, P Pickerodtc, F Kurth, et al. Evaluation of PEEP and prone positioning in early COVID-19 ARDS EClinicalMedicine, 28 (2020), Article 100579
3. GY Chen, KI Cheng, HT Hsu, YM. Lu Ultrasound-guided central venous catheterization in the prone position Br J Anaesth, 119 (2017), pp. 337-338
4. T Flament, J Mankikian, E. Mercier Ultrasound-guided insertion of dialysis catheter in the prone position Intensive Care Med, 40 (2014), p. 620
5. C Anez, A Becerra-Bolaños, A Vives-Lopez, A. Rodríguez-Pérez Cardiopulmonary resuscitation in the prone position in the operating room or in the intensive care unit: a systematic review Anesth Analg, 132 (2021), pp. 285-292
Submitted date:
01/29/2020
Accepted date:
10/09/2021
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email