Safe Central Venous Access in an Overburdened Health System.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 33464338.
- Also identified by DOI 10.1001/jama.2020.20361 and PMC identifier PMC6950776.
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Abstract
A previously healthy man, intubated in the intensive care unit (ICU) for respiratory failure due to coronavirus disease 2019 (COVID-19), required central venous access for vasopressor infusion. The intensivists were occupied managing other critically ill patients, so an available intern attempted to place a triple-lumen catheter in the right internal jugular vein using only anatomic landmarks for guidance. When the access needle was inserted, pulsatile return of blood was noted.