Safe Central Venous Access in an Overburdened Health System.

JAMA

Division of Vascular Surgery, Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California.

Published: January 2021


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Article 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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8216297PMC
http://dx.doi.org/10.1001/jama.2020.20361DOI Listing

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