A protocol for central venous access in patients with coronavirus disease 2019

Use of a Closure Device for the Management of Inadvertent Placement of a Central Venous Catheter in the Carotid Artery: A Case Report and Literature Review

“…Central venous access is a common procedure providing necessary vascular access. Its implementation increased proportionally, especially during the pandemic, where approximately 25% of COVID-19 patients required access through a central vein [1].…”

Terminology for vascular access devices

“…We read with interest the report by Jasinski et al. 1 The Italian Group of Venous Access Devices has recently suggested clinical recommendations for optimizing the practice of insertion and management of vascular access devices (VADs) in patients with coronavirus disease 2019 (COVID-19). 2 , 3 …”

“…In contrast, patients with COVID-19 admitted to the intensive care unit will often require a central VAD. 1 , 2 , 3 However, the protocol suggested by Jasinski et al 1 could lead to some confusion in the terminology and, thus, to an inappropriate use of the devices. Jasinski et al 1 proposed trimming a triple-lumen peripherally inserted central catheter (PICC) such that the tip cannot reach the superior vena cava.…”

“…According to the most recent data, 4 , 5 peripheral VADs include short peripheral cannulas (<6 cm long), long peripheral catheters (6-15 cm long; so-called short midline catheters), and midline catheters (16-25 cm long; so-called midclavicular catheters, because the tip is in the axillary vein or subclavian vein). The “modified PICC” proposed by Jasinski et al 1 should be classified as a peripheral catheter and included in the category of midline catheters.…”

Jugular Vein Catheterization in Critically Ill Patients with Coronavirus Disease 2019 Can Increase the Surgeon’s Exposure

“…This finding indicated that the surgeons who try to install the venous catheter in the upper body veins are at a risk for SARS-CoV-2 infection by airborne transmission. Recently an article published by Jasinski et al [ 3 ] laid down a catheter embedding protocol to prevent doctors and nurses from working in COVID-19 wards during central vein catheterization. They decided to utilize the triple-lumen peripherally inserted central catheters as the preferred means of establishing central vein access.…”