A middle-aged female with a history of DM and ESRD- A different position for difficult central venous catheter fixation with a shoulder pad- A case report

CV line catheterization is one of the critical hospital procedures. The woman was a candidate for rapid access to the central vein for immediate hemodialysis. During the ultrasound examination, we found that all central vessels have extensive thrombi due to previous catheter placements. Despite the good ultrasound view in the left internal jugular vein, it was difficult to pass the guide wire. We were able to successfully pass the guide wire without complications by placing a shoulder pad with a height of ۱۰ cm and ۱۵ degrees Trendelenburg position and extreme extension of the head.

کلیدواژه ها:

Central venous catheter ، Ultrasonography ، ESRD