Clinical analysis on the application of ultrasound-guided internal jugular vein catheterization in patients with ARDS in the prone position
Objective:Central venous catheterization(CVC)is often required for moderate and severe acute re-spiratory distress syndrome(ARDS)patients.However,the prone position,which is essential for treating such patients,significantly increases the difficulty of CVC.We suggest that ultrasound(US)-guided CVC in the prone position is technically feasible.Methods:A retrospective analysis was performed on the clinical characteristics of internal jugular vein catheterization of 39 patients with moderate and severe ARDS who received invasive mechani-cal ventilation and prone positioning in the general ICU of the Third people's Hospital of Chengdu from May 2022 to May 2023,with the aim of exploring the feasibility of real-time US-guided internal jugular catheterizaiton in moderate and severe ARDS patients in the prone position.The primary outcome was the first-attempt success rate.The secondary outcomes were the success rate,number of attempts and total catheterization time.Results:The first-attempt success rate was 84.6％.The catheterization success rate was 92.3％.The median number of attempts was 1.The total catheterizaition time was 106.4 s(89.2,137.9).Arterial puncture occurred in one pa-tient(2.6％),and one patient(2.6％)developed a haematoma.No pneumothorax,hemothorax,or catheter mis-placement was noted.Conclusion:Real-time US-guided internal jugular catheterization in ARDS patients under in-vasive mechanical ventilation and deep sedation in the prone position in the ICU is feasible and safe.
ultrasoundinternal jugular venous catheterizationprone positionacute respiratory distress syndromeintensive care unit
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