The Journal of Vascular Access · 2021 · 14 citations · 4 references
MedicineEmergency MedicineSurgeryCritical Care AnesthesiologyCritical Care MedicineVascular SurgeryAcute Respiratory Distress SyndromeCentral Venous Access CareIntravenous Access DevicesMechanical VentilationVascular Access In TraumaVenous InterventionsCentral Venous Access DevicesCentral Venous Catheter Position AssessmentFemoral Venous AccessInferior Vena Cava UltrasoundProne PositioningSevere Acute Respiratory SyndromeUltrasound-guided Central Venous AccessUltrasound-guided Central Venous Catheter Placement
A 63-year-old obese male was admitted with acute respiratory failure secondary to COVID-19. Day 13 the patient decompensated, lapsing into a critical stage of severe acute respiratory distress syndrome, requiring immediate prone positioning. The Rapid Response Team managed the emergency intervention for intubation but was unable to establish central access with the patient in the prone position. A consult to the Vascular Access Team succeeded in establishing central catheter placement with an ultrasound-guided mid-thigh superficial femoral 55-centimeter triple lumen catheter. The terminal tip of the catheter was confirmed in the mid portion of the inferior vena cava.
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