INTRODUCTION: PPE for contact protection is an integral component of the management of critically ill COVID-19 patients. It causes restrictions in mobility and impaired touch perception. This is further impaired by additional standard barrier precautions taken for sterility. In an era where the point of care ultrasound (POCUS) has become an everyday practice, ultrasound guidance is recommended to overcome some of these difficulties. OBJECTIVE: The objective was to find and evaluate the techniques practiced, the difficulties faced and complications while performing a central venous catheter and arterial cannula insertion. MATERIALS AND METHODS: The study was conducted through an online survey. The questionnaire included questions about the practices followed, the problems faced, and complications during performing such procedures. RESULT: 66.66% of the Senior residents and 16.6% of the Consultants attempted the CVC insertions. Arterial cannulation was attempted by 78.37% senior residents and 14.42% Consultants. Majority of intensivists used USG for CVC insertions (86.48%) and for arterial cannulation (81%). The various difficulties faced were impaired vision due to fogging (100%), impaired body movement. 66% complained of suboptimal patient positioning and 33% complained of difficulty in communication during CVC insertion. We found that there were no immediate complications. CONCLUSION: To access central and arterial cannulation in a COVID ICU, Senior intensivist should perform the procedure using USG guided techniques so as to improve success rate and minimize complication amidst difficulties like fogging of vision and improper procedural positioning. Standardized equipment for “standard” maximal barrier precautions should be available before performing these procedures in addition to PPE.
| Published in | International Journal of Anesthesia and Clinical Medicine (Volume 8, Issue 2) |
| DOI | 10.11648/j.ijacm.20200802.15 |
| Page(s) | 55-61 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2020. Published by Science Publishing Group |
Central Venous Catheter, Arterial Cannula, COVID-19, ICU, USG
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APA Style
Neha Rawat, Jijo Francis, Goverdhan Dutt Puri, Amarjyoti Hazarika, Naveen Naik, et al. (2020). Securing Central Venous Access and Arterial Cannulation in a COVID ICU- Our Experience Questionnaire Based Survey. International Journal of Anesthesia and Clinical Medicine, 8(2), 55-61. https://doi.org/10.11648/j.ijacm.20200802.15
ACS Style
Neha Rawat; Jijo Francis; Goverdhan Dutt Puri; Amarjyoti Hazarika; Naveen Naik, et al. Securing Central Venous Access and Arterial Cannulation in a COVID ICU- Our Experience Questionnaire Based Survey. Int. J. Anesth. Clin. Med. 2020, 8(2), 55-61. doi: 10.11648/j.ijacm.20200802.15
AMA Style
Neha Rawat, Jijo Francis, Goverdhan Dutt Puri, Amarjyoti Hazarika, Naveen Naik, et al. Securing Central Venous Access and Arterial Cannulation in a COVID ICU- Our Experience Questionnaire Based Survey. Int J Anesth Clin Med. 2020;8(2):55-61. doi: 10.11648/j.ijacm.20200802.15
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author = {Neha Rawat and Jijo Francis and Goverdhan Dutt Puri and Amarjyoti Hazarika and Naveen Naik and Kulbhusan Saini},
title = {Securing Central Venous Access and Arterial Cannulation in a COVID ICU- Our Experience Questionnaire Based Survey},
journal = {International Journal of Anesthesia and Clinical Medicine},
volume = {8},
number = {2},
pages = {55-61},
doi = {10.11648/j.ijacm.20200802.15},
url = {https://doi.org/10.11648/j.ijacm.20200802.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20200802.15},
abstract = {INTRODUCTION: PPE for contact protection is an integral component of the management of critically ill COVID-19 patients. It causes restrictions in mobility and impaired touch perception. This is further impaired by additional standard barrier precautions taken for sterility. In an era where the point of care ultrasound (POCUS) has become an everyday practice, ultrasound guidance is recommended to overcome some of these difficulties. OBJECTIVE: The objective was to find and evaluate the techniques practiced, the difficulties faced and complications while performing a central venous catheter and arterial cannula insertion. MATERIALS AND METHODS: The study was conducted through an online survey. The questionnaire included questions about the practices followed, the problems faced, and complications during performing such procedures. RESULT: 66.66% of the Senior residents and 16.6% of the Consultants attempted the CVC insertions. Arterial cannulation was attempted by 78.37% senior residents and 14.42% Consultants. Majority of intensivists used USG for CVC insertions (86.48%) and for arterial cannulation (81%). The various difficulties faced were impaired vision due to fogging (100%), impaired body movement. 66% complained of suboptimal patient positioning and 33% complained of difficulty in communication during CVC insertion. We found that there were no immediate complications. CONCLUSION: To access central and arterial cannulation in a COVID ICU, Senior intensivist should perform the procedure using USG guided techniques so as to improve success rate and minimize complication amidst difficulties like fogging of vision and improper procedural positioning. Standardized equipment for “standard” maximal barrier precautions should be available before performing these procedures in addition to PPE.},
year = {2020}
}
TY - JOUR T1 - Securing Central Venous Access and Arterial Cannulation in a COVID ICU- Our Experience Questionnaire Based Survey AU - Neha Rawat AU - Jijo Francis AU - Goverdhan Dutt Puri AU - Amarjyoti Hazarika AU - Naveen Naik AU - Kulbhusan Saini Y1 - 2020/09/03 PY - 2020 N1 - https://doi.org/10.11648/j.ijacm.20200802.15 DO - 10.11648/j.ijacm.20200802.15 T2 - International Journal of Anesthesia and Clinical Medicine JF - International Journal of Anesthesia and Clinical Medicine JO - International Journal of Anesthesia and Clinical Medicine SP - 55 EP - 61 PB - Science Publishing Group SN - 2997-2698 UR - https://doi.org/10.11648/j.ijacm.20200802.15 AB - INTRODUCTION: PPE for contact protection is an integral component of the management of critically ill COVID-19 patients. It causes restrictions in mobility and impaired touch perception. This is further impaired by additional standard barrier precautions taken for sterility. In an era where the point of care ultrasound (POCUS) has become an everyday practice, ultrasound guidance is recommended to overcome some of these difficulties. OBJECTIVE: The objective was to find and evaluate the techniques practiced, the difficulties faced and complications while performing a central venous catheter and arterial cannula insertion. MATERIALS AND METHODS: The study was conducted through an online survey. The questionnaire included questions about the practices followed, the problems faced, and complications during performing such procedures. RESULT: 66.66% of the Senior residents and 16.6% of the Consultants attempted the CVC insertions. Arterial cannulation was attempted by 78.37% senior residents and 14.42% Consultants. Majority of intensivists used USG for CVC insertions (86.48%) and for arterial cannulation (81%). The various difficulties faced were impaired vision due to fogging (100%), impaired body movement. 66% complained of suboptimal patient positioning and 33% complained of difficulty in communication during CVC insertion. We found that there were no immediate complications. CONCLUSION: To access central and arterial cannulation in a COVID ICU, Senior intensivist should perform the procedure using USG guided techniques so as to improve success rate and minimize complication amidst difficulties like fogging of vision and improper procedural positioning. Standardized equipment for “standard” maximal barrier precautions should be available before performing these procedures in addition to PPE. VL - 8 IS - 2 ER -
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