Central Venous Catheter Insertion in the Prone Position-A Last Resort in Critically Ill COVID-19 Patients.

Abstract:

BACKGROUND:In the setting of the COVID pandemic, many patients falling ill with acute respiratory distress syndrome eventually require prone positioning for gas exchange. Traditionally, central venous catheters are inserted with patient in the supine or Trendelenburg position. However, when a patient cannot tolerate supine position and the need for central venous access is urgent, catheter placement may be considered with the patient in the prone position. CASE SUMMARY:A 69-year-old male with rapidly declining respiratory status secondary to COVID pneumonia quickly developed acute respiratory distress syndrome, was rapidly intubated, and then placed in the prone position. Patient could not tolerate the supine position even briefly and required a central venous catheter insertion for continuous renal replacement therapy. We kept the patient in the prone position and successfully inserted a central venous catheter in such position with real-time ultrasound guidance and using micropuncture technique. CONCLUSION:In the setting of the COVID pandemic, many cases of acute respiratory distress syndrome require patients to be prone in order to improve gas exchange. In the most severe situations, these patients would not be able to tolerate rotating back to the supine position but would still require central venous catheter insertion urgently. We demonstrated feasibility of central venous catheter insertion in the prone position in these severely ill patients.

journal_name

J Intensive Care Med

authors

Yang MX,Ng PK

doi

10.1177/0885066620959649

subject

Has Abstract

pub_date

2020-09-16 00:00:00

pages

885066620959649

eissn

0885-0666

issn

1525-1489

pub_type

杂志文章
  • Massive intravascular hemolysis from Clostridium perfringens septicemia: a review.

    abstract::We describe the case of a patient with hemolysis-associated Clostridium perfringens septicemia and review all similar cases published in the literature since 1990, with specific focus on the relationship between treatment strategy and survival. We searched PubMed for all published cases of C. perfringens-associated he...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066613498043

    authors: Simon TG,Bradley J,Jones A,Carino G

    更新日期:2014-11-01 00:00:00

  • Ethical challenges with deactivation of durable mechanical circulatory support at the end of life: left ventricular assist devices and total artificial hearts.

    abstract::Left ventricular assist devices (LVADs) and total artificial hearts (TAHs) are surgically implanted as permanent treatment of unrecoverable heart failure. Both LVADs and TAHs are durable mechanical circulatory support (MCS) devices that can prolong patient survival but also alter end-of-life trajectory. The permissibi...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066611432415

    authors: Rady MY,Verheijde JL

    更新日期:2014-01-01 00:00:00

  • Impact of Low-Dose Hydrocortisone on the Incidence of Atrial Fibrillation in Patients With Septic Shock: A Propensity Score-Inverse Probability of Treatment Weighting Cohort Study.

    abstract:PURPOSE:Atrial fibrillation (AF) is common in the intensive care unit (ICU), notably in patients with septic shock for whom inflammation is an already identified risk factor. The aim of this study was to evaluate the effect of low-dose hydrocortisone on AF occurrence in patients with septic shock. METHODS:We performed...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066617696847

    authors: Launey Y,Lasocki S,Asehnoune K,Gaudriot B,Chassier C,Cinotti R,Maguet PL,Laksiri L,Mimoz O,Tawa A,Nesseler N,Malledant Y,Perrot B,Seguin P

    更新日期:2019-03-01 00:00:00

  • Diagnostic Laparoscopy in the Intensive Care Unit.

    abstract::Primary and acquired abdominal pathology accounts for a significant proportion of sepsis and SIRS in the ICU population. Abdominal processes often present a difficult diagnostic dilemma in the truly critically ill patient who, due to hemodynamic instability or severe acute respiratory distress syndrome (ARDS) requirin...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066613492102

    authors: Zemlyak A,Heniford BT,Sing RF

    更新日期:2015-07-01 00:00:00

  • Current concepts in the simultaneous transplantation of kidney and pancreas.

    abstract::Diabetes mellitus (DM) represents an enormous health care concern for the United States and other countries. According to the American Diabetes Association in 2007, there were more than 23 million Americans living with diabetes. This is a 13.5% increase from 2005, likely representing increases in Type II DM (DMII). Di...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066610396813

    authors: Scalea JR,Cooper M

    更新日期:2012-07-01 00:00:00

  • Management of aminoglycosides in the intensive care unit.

    abstract::Antibacterial resistance is increasing throughout the world, while the development of new agents is slowly progressing. In addition, the increasing prevalence of fluoroquinolone resistance may force many practitioners to choose an aminoglycoside agent in gram-negative regimens. Aminoglycosides are bactericidal agents ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066610377968

    authors: Radigan EA,Gilchrist NA,Miller MA

    更新日期:2010-11-01 00:00:00

  • Exploration of Withdrawal of Life-Sustaining Therapy in Canadian Intensive Care Units.

    abstract:OBJECTIVE:The process of controlled donation after circulatory death (cDCD) is strongly connected with the process of withdrawal of life-sustaining therapy. In addition to impacting cDCD success, actions comprising withdrawal of life-sustaining therapy have implications for quality of palliative care. We examined pilot...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066615571529

    authors: van Beinum A,Hornby L,Ramsay T,Ward R,Shemie SD,Dhanani S

    更新日期:2016-05-01 00:00:00

  • Near-Infrared Spectroscopy in Adult Circulatory Shock: A Systematic Review.

    abstract:BACKGROUND:Circulatory shock affects every third patient in intensive care units and is associated with high mortality. Near-infrared spectroscopy (NIRS) could serve as a means for monitoring tissue perfusion in circulatory shock. PURPOSE:To assess the evidence of NIRS monitoring in circulatory shock, we conducted a s...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620907307

    authors: Varis E,Pettilä V,Wilkman E

    更新日期:2020-10-01 00:00:00

  • Successful use of extracorporeal membrane oxygenation in an adult patient with toxic shock-induced heart failure.

    abstract::Cardiomyopathy secondary to toxic shock syndrome (TSS) is an uncommon but potentially life-threatening problem. We report the case of a 51-year-old male who presented with profound cardiogenic shock and multiorgan failure that could not be managed by conventional therapy with intravenous fluids, vasopressors and inotr...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066613517069

    authors: Gabel E,Gudzenko V,Cruz D,Ardehali A,Fink MP

    更新日期:2015-02-01 00:00:00

  • Effectiveness of Treatments and Diagnostic Tools and Declining Mortality in Patients With Severe Sepsis: A 12-Year Population-Based Cohort Study.

    abstract::Sepsis is a major cause of morbidity and mortality worldwide. With the advance of medical care, the mortality of sepsis has decreased in the past decades. Many treatments and diagnostic tools still lack supporting evidence. We conducted a retrospective population-based cohort study with propensity score matched subcoh...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619827270

    authors: Chen KF,Tsai MY,Wu CC,Han ST

    更新日期:2020-12-01 00:00:00

  • Trauma radiology: part II. Diagnostic imaging of thoracic trauma: review and update.

    abstract::Frontal chest radiographs are the principal diagnostic imaging study to detect, verify, or exclude acute thoracic injury after trauma, and they should be obtained as quickly as possible without compromising clinical assessment and resuscitation. Chest radiographs provide important information about potentially life-th...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/088506669400900403

    authors: Mirvis SE,Shanmuganathan K

    更新日期:1994-07-01 00:00:00

  • Vasopressor and Inotrope Therapy in Cardiac Critical Care.

    abstract::Patients admitted to the cardiac intensive care unit (CICU) are often in shock and require hemodynamic support. Identifying and addressing the pathophysiology mechanisms operating in an individual patient is crucial to achieving a successful outcome, while initiating circulatory support therapy to restore adequate tis...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620917630

    authors: Jentzer JC,Hollenberg SM

    更新日期:2020-04-13 00:00:00

  • An Integrative Index for Predicting Extubation Outcomes After Successful Completion of a Spontaneous Breathing Trial in an Adult Medical Intensive Care Unit.

    abstract:BACKGROUND:Among respiratory predictors, rapid shallow breathing index (RSBI) has been a commonly used respiratory parameter to predict extubation outcomes. However, the outcome of prediction remains inconsistent. Regarding nonrespiratory predictors, serum albumin, hemoglobin, bicarbonate, and patients' alertness have ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066617706688

    authors: Wu TJ,Shiao JS,Yu HL,Lai RS

    更新日期:2019-08-01 00:00:00

  • Echodynamics: Interpretation, Limitations, and Clinical Integration!

    abstract::Echodynamics refers to the use of echocardiography as hemodynamic tool mostly in intensive and acute care settings. It implies a smooth drift from the classic cardiology use to a more critical care adjusted use. A more personalized approach is advocated in critical care, and echo is one way to reach such goal. Correct...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066617734151

    authors: Roshdy A

    更新日期:2018-08-01 00:00:00

  • Clinical Trial Assessment of Intermittent and Continuous Infusion Dose of N-Acetylcysteine on Redox Status of the Body in Patients with Sepsis Admitted to the ICU.

    abstract:PURPOSE:Conflicting results exist regarding the efficacy of N-acetyl cysteine (NAC) in sepsis treatment. A pivotal factor affecting the therapeutic potency of NAC in sepsis is timing and dosing of its infusion. We aimed to assess the effect of NAC on redox status of patients with sepsis and to compare its efficacy in i...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066618823152

    authors: Peivandi Yazdi A,Razavi M,Sheikh S,Boroumand N,Salehi M,Hashemy SI

    更新日期:2020-12-01 00:00:00

  • Venous Thromboembolism Prophylaxis: A Narrative Review With a Focus on the High-Risk Critically Ill Patient.

    abstract::Venous thromboembolism (VTE) is a major health concern associated with significant morbidity and mortality. Critically ill patients are at an increased risk of VTE compared to general medical patients due to unique risk factors: prolonged immobilization, invasive lines and devices, certain medications, and acquired th...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066618796486

    authors: Lewis TC,Cortes J,Altshuler D,Papadopoulos J

    更新日期:2019-11-01 00:00:00

  • Massive aspiration past the tracheal tube cuff caused by closed tracheal suction system.

    abstract:BACKGROUND:Aspiration past the tracheal tube cuff has been recognized to be a risk factor for the development of ventilator-associated pneumonia (VAP). This study investigated the effect of closed tracheal suctioning on aspiration of fluid past the tracheal tube cuff in an in vitro benchtop model. METHODS:High-volume ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066610392516

    authors: Dave MH,Frotzler A,Madjdpour C,Koepfer N,Weiss M

    更新日期:2011-09-01 00:00:00

  • Patterns of use of prophylaxis for stress-related mucosal disease in patients admitted to the intensive care unit.

    abstract:BACKGROUND:Morbidity associated with stress ulcer-related bleeding, the cost of medications, and the possible complications associated with stress ulcer prophylaxis are important considerations when prescribing prophylaxis. We prospectively studied the prescription patterns for stress ulcer prophylaxis in patients admi...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0885066612453542

    authors: Frandah W,Colmer-Hamood J,Nugent K,Raj R

    更新日期:2014-03-01 00:00:00

  • Bi-level positive airway pressure ventilation in pediatric oncology patients with acute respiratory failure.

    abstract::The aim of the study was to describe our experience with bi-level positive airway pressure (BiPAP) ventilation in oncology children with acute respiratory failure, hospitalized in a single tertiary pediatric tertiary center. This was a retrospective cohort study of all pediatric oncology patients in our center admitte...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066609344956

    authors: Schiller O,Schonfeld T,Yaniv I,Stein J,Kadmon G,Nahum E

    更新日期:2009-11-01 00:00:00

  • Selection of an empiric antibiotic regimen for hospital-acquired pneumonia using a unit and culture-type specific antibiogram.

    abstract::The objective of this retrospective study was to determine the optimal initial antibiotic regimen for hospital-acquired pneumonia using the frequency and sensitivity of Gram negative microorganisms found in sputum cultures. An antibiogram was constructed and compared with the hospital intensive care unit (ICU) antibio...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066605278650

    authors: Green DL

    更新日期:2005-09-01 00:00:00

  • Safety of Transesophageal Echocardiography Performed by Intensivists and Emergency Physicians in Critically Ill Patients With Coagulopathy and Thrombocytopenia: A Single-Center Experience.

    abstract:INTRODUCTION:The use of transesophageal echocardiography (TEE) by intensivist physicians (IPs) and emergency physicians (EPs) in critically ill patients is increasing in the intensive care unit, emergency department, and prehospital environments. Coagulopathy and thrombocytopenia are common in critically ill patients. ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619887693

    authors: Wray TC,Schmid K,Braude D,Azevedo K,Dettmer T,Tawil I,Boivin M,Marinaro J

    更新日期:2021-01-01 00:00:00

  • Mortality in Patients With Septic Shock by Multidrug Resistant Bacteria: Risk Factors and Impact of Sepsis Treatments.

    abstract:BACKGROUND::Patients with septic shock by multidrug resistant (MDR) microorganism maybe considered a specific population of critical patients at very high risk of death in whom the effects of standard sepsis treatment has never been assessed. The objective of this retrospective analysis was to evaluate the risk factors...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066616688165

    authors: Busani S,Serafini G,Mantovani E,Venturelli C,Giannella M,Viale P,Mussini C,Cossarizza A,Girardis M

    更新日期:2019-01-01 00:00:00

  • Diagnosis and management of life-threatening pulmonary embolism.

    abstract::Pulmonary embolus (PE) is estimated to cause 200 000 to 300 000 deaths annually. Many deaths occur in hemodynamically unstable patients and the estimated mortality for inpatients with hemodynamic instability is between 15% and 25%. The diagnosis of PE in the critically ill is often challenging because the presentation...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066610392658

    authors: Marshall PS,Mathews KS,Siegel MD

    更新日期:2011-09-01 00:00:00

  • Predictors of Outcome Post Cardiac Arrest.

    abstract::Early predictors of prognosis in comatose patients post cardiac arrest help inform decisions surrounding continuation or withdrawal of treatment and provide a framework on which to better inform relatives of the likely outcome. Markers defined prior to the widespread use of therapeutic hypothermia post arrest may no l...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章,评审

    doi:10.1177/0885066613511045

    authors: Bigham S,Bigham C,Martin D

    更新日期:2018-04-01 00:00:00

  • Conservative Fluid Management After Sepsis Resuscitation: A Pilot Randomized Trial.

    abstract:RATIONALE:The feasibility and clinical outcomes of conservative fluid management after sepsis resuscitation remain unknown. OBJECTIVES:To evaluate the effect of a conservative fluid management protocol on fluid balance and intensive care unit (ICU)-free days among patients with sepsis. METHODS:In a single-center phas...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066618823183

    authors: Semler MW,Janz DR,Casey JD,Self WH,Rice TW

    更新日期:2020-12-01 00:00:00

  • Novel Method of Atrial Fibrillation Case Identification and Burden Estimation Using the MIMIC-III Electronic Health Data Set.

    abstract:BACKGROUND:Atrial fibrillation (AF) portends poor prognoses in intensive care unit patients with sepsis. However, AF research is challenging: Previous studies demonstrate that International Classification of Disease (ICD) codes may underestimate the incidence of AF, but chart review is expensive and often not feasible....

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619866172

    authors: Ding EY,Albuquerque D,Winter M,Binici S,Piche J,Bashar SK,Chon K,Walkey AJ,McManus DD

    更新日期:2019-10-01 00:00:00

  • Review of a large clinical series: the value of routinely obtained chest radiographs on admission to a mixed medical--surgical intensive care unit.

    abstract:BACKGROUND AND OBJECTIVES:The efficacy of routinely obtained chest radiographs (CXRs) on admission to the intensive care unit (ICU) is largely unknown. The current study investigated the efficacy of routinely obtained admission CXRs and determined whether the value of this diagnostic test was dependent on patient categ...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066610366925

    authors: Kager LM,Kröner A,Binnekade JM,Gratama JW,Spronk PE,Stoker J,Vroom MB,Schultz MJ

    更新日期:2010-07-01 00:00:00

  • Outcome prediction for critically ill cirrhotic patients: a comparison of APACHE II and Child-Pugh scoring systems.

    abstract::Cirrhotic patients admitted to the medical intensive care unit (ICU) are associated with high mortality rates. The prognosis of critically ill cirrhotic patients is determined by the extent of hepatic and extrahepatic organ dysfunction. This study was conducted to assess and compare the accuracy of the Child-Pugh clas...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066603261991

    authors: Ho YP,Chen YC,Yang C,Lien JM,Chu YY,Fang JT,Chiu CT,Chen PC,Tsai MH

    更新日期:2004-03-01 00:00:00

  • Practice Patterns in the Treatment of Patients With Severe Alcohol Withdrawal: A Multidisciplinary, Cross-Sectional Survey.

    abstract:PURPOSE:To characterize physicians' stated practices in the treatment of patients with severe acute alcohol withdrawal syndrome (sAAWS) and to use intravenous (IV) phenobarbital as an adjuvant treatment for sAAWS. METHODS:A multidisciplinary, cross-sectional, self-administered survey at 2 large academic centers specia...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066619847119

    authors: Buell D,Filewod N,Ailon J,Burns KEA

    更新日期:2020-11-01 00:00:00

  • Arterial Oxygenation in Traumatic Brain Injury-Relation to Cerebral Energy Metabolism, Autoregulation, and Clinical Outcome.

    abstract:BACKGROUND:Ischemic and hypoxic secondary brain insults are common and detrimental in traumatic brain injury (TBI). Treatment aims to maintain an adequate cerebral blood flow with sufficient arterial oxygen content. It has been suggested that arterial hyperoxia may be beneficial to the injured brain to compensate for c...

    journal_title:Journal of intensive care medicine

    pub_type: 杂志文章

    doi:10.1177/0885066620944097

    authors: Wettervik TS,Engquist H,Howells T,Lenell S,Rostami E,Hillered L,Enblad P,Lewén A

    更新日期:2020-07-27 00:00:00