• Medientyp: E-Artikel
  • Titel: Ultrasound-Guided Intravenous Catheter Insertion in a Prone Patient using a T Probe in Emergency Setting
  • Beteiligte: Lazzari, Antonio; Bini, Roberto; Bertucci, Roberto; Coletti, Antonio; Voghera, Paolo
  • Erschienen: SAGE Publications, 2017
  • Erschienen in: The Journal of Vascular Access
  • Umfang: e95-e97
  • Sprache: Englisch
  • DOI: 10.5301/jva.5000754
  • ISSN: 1129-7298; 1724-6032
  • Schlagwörter: Nephrology ; Surgery
  • Zusammenfassung: <jats:sec><jats:title>Introduction</jats:title><jats:p> Central venous catheterizations are common intraoperative procedures. Central venous catheter (CVC) placements are usually performed with patients lying in the supine position using real-time ultrasound (US) guidance. </jats:p></jats:sec><jats:sec><jats:title>Case description</jats:title><jats:p> A 43-year-old man underwent open right popliteal artery reconstruction in the prone position for a limb-threatening injury. Excessive continuous intraoperative bleeding, increased by a coexisting pelvic fracture, was temporarily stabilized by a T POD device, but with the need of external fixation, required the placement of CVC, which was not feasible whilst in the prone position without US help. A view of the left internal jugular vein (IJV) was obtained with pediatric T probe and a CVC was placed using real-time US guidance, without complications. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> We demonstrated the feasibility and safety of US-guided CVC placements in an emergency setting. </jats:p></jats:sec>
  • Beschreibung: <jats:sec><jats:title>Introduction</jats:title><jats:p> Central venous catheterizations are common intraoperative procedures. Central venous catheter (CVC) placements are usually performed with patients lying in the supine position using real-time ultrasound (US) guidance. </jats:p></jats:sec><jats:sec><jats:title>Case description</jats:title><jats:p> A 43-year-old man underwent open right popliteal artery reconstruction in the prone position for a limb-threatening injury. Excessive continuous intraoperative bleeding, increased by a coexisting pelvic fracture, was temporarily stabilized by a T POD device, but with the need of external fixation, required the placement of CVC, which was not feasible whilst in the prone position without US help. A view of the left internal jugular vein (IJV) was obtained with pediatric T probe and a CVC was placed using real-time US guidance, without complications. </jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p> We demonstrated the feasibility and safety of US-guided CVC placements in an emergency setting. </jats:p></jats:sec>
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