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Internal Jugular Vein Cannulation in Prone Position
Since 1970, prone decubitus (PD) has been used as adjuvant therapy to treat severe hypoxia in patients with acute respiratory distress syndrome (ARDS), and now with the COVID-19 pandemic, its use has become widespread in ICUs. ARDS is characterized by diffuse bilateral radiographic infiltrates, decr...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063307/ https://www.ncbi.nlm.nih.gov/pubmed/37007902 http://dx.doi.org/10.1097/CCE.0000000000000896 |
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author | Salvador-Ibarra, Ibzan J. |
author_facet | Salvador-Ibarra, Ibzan J. |
author_sort | Salvador-Ibarra, Ibzan J. |
collection | PubMed |
description | Since 1970, prone decubitus (PD) has been used as adjuvant therapy to treat severe hypoxia in patients with acute respiratory distress syndrome (ARDS), and now with the COVID-19 pandemic, its use has become widespread in ICUs. ARDS is characterized by diffuse bilateral radiographic infiltrates, decreased respiratory compliance, small lung volumes, and severe hypoxemia. The placement of vascular access in PD seems to be feasible and safe, since, as has been described, the number of complications such as pneumothorax, bleeding, and arterial punctures are almost nil, especially when performed under ultrasound guidance. The patients who could benefit most from this procedure seem to be those with obesity, mainly with a body mass index greater than 30 kg/m(2), in whom the return to the supine position may represent a risk of respiratory or hemodynamic deterioration. |
format | Online Article Text |
id | pubmed-10063307 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-100633072023-03-31 Internal Jugular Vein Cannulation in Prone Position Salvador-Ibarra, Ibzan J. Crit Care Explor Letter to the Editor Since 1970, prone decubitus (PD) has been used as adjuvant therapy to treat severe hypoxia in patients with acute respiratory distress syndrome (ARDS), and now with the COVID-19 pandemic, its use has become widespread in ICUs. ARDS is characterized by diffuse bilateral radiographic infiltrates, decreased respiratory compliance, small lung volumes, and severe hypoxemia. The placement of vascular access in PD seems to be feasible and safe, since, as has been described, the number of complications such as pneumothorax, bleeding, and arterial punctures are almost nil, especially when performed under ultrasound guidance. The patients who could benefit most from this procedure seem to be those with obesity, mainly with a body mass index greater than 30 kg/m(2), in whom the return to the supine position may represent a risk of respiratory or hemodynamic deterioration. Lippincott Williams & Wilkins 2023-03-29 /pmc/articles/PMC10063307/ /pubmed/37007902 http://dx.doi.org/10.1097/CCE.0000000000000896 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Letter to the Editor Salvador-Ibarra, Ibzan J. Internal Jugular Vein Cannulation in Prone Position |
title | Internal Jugular Vein Cannulation in Prone Position |
title_full | Internal Jugular Vein Cannulation in Prone Position |
title_fullStr | Internal Jugular Vein Cannulation in Prone Position |
title_full_unstemmed | Internal Jugular Vein Cannulation in Prone Position |
title_short | Internal Jugular Vein Cannulation in Prone Position |
title_sort | internal jugular vein cannulation in prone position |
topic | Letter to the Editor |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063307/ https://www.ncbi.nlm.nih.gov/pubmed/37007902 http://dx.doi.org/10.1097/CCE.0000000000000896 |
work_keys_str_mv | AT salvadoribarraibzanj internaljugularveincannulationinproneposition |