Cargando…

Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position

This patient was a 73-year-old man who initially came to our service with acute respiratory failure secondary to COVID-19. Soon after hospitalization, he was submitted to orotracheal intubation and placed in the prone position to improve hypoxia, due to severe acute respiratory syndrome (SARS). On t...

Descripción completa

Detalles Bibliográficos
Autores principales: Guimarães, Rafael Gardone, Lacerda, Arthur Pires, de Carvalho, Gabriela Portilho de Castro Rodrigues, de Sales, Luiza Reis, Vásárhelyi, Marina Perim, Paixão, Matheus Pessanha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Nefrologia 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061958/
https://www.ncbi.nlm.nih.gov/pubmed/33599679
http://dx.doi.org/10.1590/2175-8239-JBN-2020-0190
_version_ 1783681668386652160
author Guimarães, Rafael Gardone
Lacerda, Arthur Pires
de Carvalho, Gabriela Portilho de Castro Rodrigues
de Sales, Luiza Reis
Vásárhelyi, Marina Perim
Paixão, Matheus Pessanha
author_facet Guimarães, Rafael Gardone
Lacerda, Arthur Pires
de Carvalho, Gabriela Portilho de Castro Rodrigues
de Sales, Luiza Reis
Vásárhelyi, Marina Perim
Paixão, Matheus Pessanha
author_sort Guimarães, Rafael Gardone
collection PubMed
description This patient was a 73-year-old man who initially came to our service with acute respiratory failure secondary to COVID-19. Soon after hospitalization, he was submitted to orotracheal intubation and placed in the prone position to improve hypoxia, due to severe acute respiratory syndrome (SARS). On the third day of hospitalization, he developed acute oliguric kidney injury and volume overload. The nephrology service was activated to obtain deep venous access for renal replacement therapy (RRT). The patient could not be placed in the supine position due to significant hypoxemia. A 50-cm Permcath (MAHURKARTM, Covidien, Massachusetts, USA) was inserted through the left popliteal vein. This case report describes a possible challenging scenario that the interventional nephrologist may encounter when dealing with patients with COVID-19 with respiratory impairment in the prone position.
format Online
Article
Text
id pubmed-8061958
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Sociedade Brasileira de Nefrologia
record_format MEDLINE/PubMed
spelling pubmed-80619582021-05-04 Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position Guimarães, Rafael Gardone Lacerda, Arthur Pires de Carvalho, Gabriela Portilho de Castro Rodrigues de Sales, Luiza Reis Vásárhelyi, Marina Perim Paixão, Matheus Pessanha J Bras Nefrol Case Report This patient was a 73-year-old man who initially came to our service with acute respiratory failure secondary to COVID-19. Soon after hospitalization, he was submitted to orotracheal intubation and placed in the prone position to improve hypoxia, due to severe acute respiratory syndrome (SARS). On the third day of hospitalization, he developed acute oliguric kidney injury and volume overload. The nephrology service was activated to obtain deep venous access for renal replacement therapy (RRT). The patient could not be placed in the supine position due to significant hypoxemia. A 50-cm Permcath (MAHURKARTM, Covidien, Massachusetts, USA) was inserted through the left popliteal vein. This case report describes a possible challenging scenario that the interventional nephrologist may encounter when dealing with patients with COVID-19 with respiratory impairment in the prone position. Sociedade Brasileira de Nefrologia 2021-02-12 2021 /pmc/articles/PMC8061958/ /pubmed/33599679 http://dx.doi.org/10.1590/2175-8239-JBN-2020-0190 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Guimarães, Rafael Gardone
Lacerda, Arthur Pires
de Carvalho, Gabriela Portilho de Castro Rodrigues
de Sales, Luiza Reis
Vásárhelyi, Marina Perim
Paixão, Matheus Pessanha
Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position
title Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position
title_full Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position
title_fullStr Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position
title_full_unstemmed Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position
title_short Renal replacement therapy by the popliteal vein in a critical patient with COVID-19 in the prone position
title_sort renal replacement therapy by the popliteal vein in a critical patient with covid-19 in the prone position
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8061958/
https://www.ncbi.nlm.nih.gov/pubmed/33599679
http://dx.doi.org/10.1590/2175-8239-JBN-2020-0190
work_keys_str_mv AT guimaraesrafaelgardone renalreplacementtherapybythepoplitealveininacriticalpatientwithcovid19intheproneposition
AT lacerdaarthurpires renalreplacementtherapybythepoplitealveininacriticalpatientwithcovid19intheproneposition
AT decarvalhogabrielaportilhodecastrorodrigues renalreplacementtherapybythepoplitealveininacriticalpatientwithcovid19intheproneposition
AT desalesluizareis renalreplacementtherapybythepoplitealveininacriticalpatientwithcovid19intheproneposition
AT vasarhelyimarinaperim renalreplacementtherapybythepoplitealveininacriticalpatientwithcovid19intheproneposition
AT paixaomatheuspessanha renalreplacementtherapybythepoplitealveininacriticalpatientwithcovid19intheproneposition