Ultrasound-Guided Internal Jugular Catheter Insertion in Prone Position

Abstract

changes of right ventricular function in cardiac surgical patients assessed by myocardial deformation analysis and three-dimensional echocardiography. J Cardiothorac Vasc Anesth, in press. 2 Jasaityte R, Dandel M, Lehmkuhl H, et al. Prediction of short-term outcomes in patients with idiopathic dilated cardiomyopathy referred for transplantation using standard echocardiography and strain imaging. Transplant Proc 2009;41(1):277-80. 3 Dandel M, Potapov E, Krabatsch T, et al. Load dependency of right ventricular performance is a major factor to be considered in decision making prior to ventricular assist device implantation. Circulation 2013;128:S14-23. 4 Dandel M, Knosalla C, Kemper D, et al. Assessment of right ventricular adaptability to loading conditions can improve the timing of listing to transplantation in patients with pulmonary arterial hypertension.

Catheterization Without Supination—A Series of 36 Prone Position Internal Jugular Vein Cannulations

“…Acute kidney injury occurs in 40-60% of patients with ARDS (22,23), with 20-30% requiring RRT (23,24). The IJV has long been a preferred site for RRT-related central venous access, but descriptions of IJV cannulation in the prone position have been limited (13)(14)(15)(16)(17)(18)(19)(20). The original procedural technique for IJV CVC placement described three routes of needle entry: anterior or posterior to the SCM, and between the SCM bellies (6).…”

“…However, placement of a nontunneled hemodialysis catheter in the subclavian vein is associated with the risk of central venous stenosis (5), and specialty equipment is required for hemodialysis catheter placement in the popliteal vein (11). Reports of IJV cannulation while in the prone position have been of limited scope with a total of only 12 patients described in the literature (12)(13)(14)(15)(16)(17)(18)(19)(20). Here, we describe clinical characteristics and outcomes of 32 patients who underwent IJV cannulation primarily for hemodialysis catheter placement while in the prone position by physicians and certified nurse anesthetists experienced in supine but not prone CVC placement.…”

Placement of a Peripherally Inserted Central Catheter in a Prone Patient With COVID-19

“… 5 , 6 Ultrasound-guided central vascular access device (CVAD) placement can be done in atypical patient positions, including prone position. 7 – 9 However, prone positioning may cause challenges for the placement of a CVAD. Even with using real-time ultrasound visualization of related anatomic structures, this positioning might be challenging and may increase the risks of complications.…”

“…In patients with SARS-CoV-2–induced ARDS, proning may be used for a minimum of 12 hours per day 5,6. Ultrasound-guided central vascular access device (CVAD) placement can be done in atypical patient positions, including prone position 7–9. However, prone positioning may cause challenges for the placement of a CVAD.…”

“…position. [7][8][9] However, prone positioning may cause challenges for the placement of a CVAD. Even with using real-time ultrasound visualization of related anatomic structures, this positioning might be challenging and may increase the risks of complications.…”