236: Comparing Vascular Access and Complications in Patients With Covid-19 and Non-Covid-19 Ards

Abstract

INTRODUCTION:When severe cases of SARS-CoV-2 (COVID19) require admission to the ICU, the presentation will often fulfill criteria for Acute Respiratory Distress Syndrome (ARDS). Some studies have attempted to define the differences between COVID19 related ARDS and non-COVID19 ARDS. However, there is little data on differences in use of vascular access. While central and arterial lines are essential for ICU care, there are risks associated with their use, notably infection, bleeding, and thrombosis. This study attempts to explore if there were differences in line usage rates and complications between patients with COVID19 ARDS and non-COVID19 ARDS. METHODS: This analysis was a retrospective cohort study.A cohort of patients with COVID19 ARDS (n = 86) was compared to a cohort of patients with non-COVID19 ARDS (n = 47). We compared baseline characteristics, total number and placement rate of lines (arterial lines, central venous catheters, and dialysis catheters) and incidence of line related complications (bleed, thrombosis, or infection).

Vascular access in critically ill patients with COVID-19: A scoping review protocol

“…14 Systematic proning of critically ill patients is one of this cohort's most widely accepted supportive measures. [15][16][17] This systematic proning increases the risk of dressing soiling and dehiscing, subsequently increasing the risk of infection. 18 Additionally, VADs themselves are associated with an increased prevalence of thrombus.…”

“…Prone positioning is the technique of placing a patient on their stomach to redistribute blood and airflow more evenly and improve oxygenation 14 . Systematic proning of critically ill patients is one of this cohort’s most widely accepted supportive measures 15–17 . This systematic proning increases the risk of dressing soiling and dehiscing, subsequently increasing the risk of infection 18 .…”