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Safe Central Venous Access in an Overburdened Health System #MMPMID33464338
Woo K; Rigberg D; Lawrence PF
JAMA 2021[Jan]; 325 (3): 299-300 PMID33464338show ga
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.