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Review Article| Volume 26, ISSUE 4, P647-660, October 2010

Vascular Procedures in the Critically Ill Obese Patient

  • Omar Rahman
    Correspondence
    Corresponding author. Department of Critical Care Medicine, Geisinger Medical Center, MC 20-37, 100 North Academy Avenue, Danville, PA 17822.
    Affiliations
    Adult Intensive Care/Shock Trauma Unit, Geisinger Medical Center, Danville, PA, USA

    Department of Critical Care Medicine, Geisinger Medical Center, MC 20-37, 100 North Academy Avenue, Danville, PA 17822, USA
    Search for articles by this author
  • Laurel Willis
    Affiliations
    Department of Critical Care Medicine, Geisinger Medical Center, MC 20-37, 100 North Academy Avenue, Danville, PA 17822, USA
    Search for articles by this author

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      References

        • Ray D.E.
        • Matchett S.C.
        • Baker K.
        • et al.
        The effect of body mass index on patient outcomes in a medical ICU.
        Chest. 2005; 127: 2125-2131
        • El-Solh A.
        • Sikka P.
        • Bozkanat E.
        • et al.
        Morbid obesity in the medical ICU.
        Chest. 2001; 120: 1989-1997
        • Tremblay A.
        • Bandi V.
        Impact of body mass index on outcomes following critical care.
        Chest. 2003; 123: 1202-1207
        • Pieracci F.M.
        • Barie P.S.
        • Pomp A.
        Critical care of the bariatric patient.
        Crit Care Med. 2006; 34: 1796-1804
        • Frasca D.
        • Dahyot-Feizlier C.
        • Mimoz O.
        Prevention of central venous catheter related infection in the intensive care unit.
        Crit Care. 2010; 14: 212
        • Caridi J.G.
        • Hawkins I.F.
        • Wiechmann B.N.
        • et al.
        Sonographic guidance when using the right internal jugular vein for central vein access.
        AJR Am J Roentgenol. 1998; 171: 259-263
        • Turba U.C.
        • Flacker R.
        • Hannegan C.
        • et al.
        Anatomic relationship of the internal jugular vein and the common carotid artery applied to percutaneous transjugular procedures.
        Cardiovasc Intervent Radiol. 2005; 28: 303-306
        • Samy Modeliar S.
        • Sevestre M.A.
        • de Cagny B.
        • et al.
        Ultrasound evaluation of central veins in the intensive care unit: effects of dynamic maneuvers.
        Intensive Care Med. 2008; 34: 333-338
        • Berenholtz S.M.
        • Pronovost P.J.
        • Lipsett P.A.
        • et al.
        Eliminating catheter-related bloodstream infections in the intensive care unit.
        Crit Care Med. 2004; 32: 2014-2020
        • Warren D.K.
        • Zack J.E.
        • Mayfield J.L.
        • et al.
        The effect of an education program on the incidence of central venous catheter-associated bloodstream infection in a medical ICU.
        Chest. 2004; 126: 1612-1618
        • Merrer J.
        • De Jonghe B.
        • Golliot F.
        • et al.
        Complications of femoral and subclavian venous catheterization in critically ill patients: a randomized controlled trial.
        JAMA. 2001; 286: 700-707
        • Ruesch S.
        • Walder B.
        • Tramèr M.R.
        Complications of central venous catheters: internal jugular versus subclavian access – a systematic review.
        Crit Care Med. 2002; 30: 454-460
        • Parienti J.J.
        • Thirion M.
        • Mégarbane B.
        • et al.
        Femoral vs. jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy: a randomized controlled trial.
        JAMA. 2008; 99: 2413-2422
        • Randolph A.D.
        • Cook D.J.
        • GonzalesCA
        • et al.
        Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature.
        Crit Care Med. 1996; 24: 2053-2058
        • Maki D.G.
        • Ringer M.
        • Alvarado C.J.
        Prospective randomized trial of povidone-iodine, alcohol, and chlorhexidine for prevention of infection associated with central venous and arterial catheters.
        Lancet. 1991; 338: 339-343
        • Mimoz O.
        • Pieroni L.
        • Lawrence C.
        • et al.
        Prospective randomized trial of two antiseptic solutions for prevention of central venous or arterial colonization and infection in intensive care unit patients.
        Crit Care Med. 1996; 24: 1818-1823
        • Al Raiy B.
        • Fakih M.G.
        • Bryan-Nomides N.
        • et al.
        Peripherally inserted central venous catheters in the acute care setting: a safe alternative to high-risk short-term central venous catheters.
        Am J Infect Control. 2010; 38: 149-153
        • Aubaniac R.
        L’injection intraveneuse sousclaviculare advantage et technique.
        Presse Med. 1952; 60: 1456
        • Seldinger S.I.
        Catheter replacement of the needle in percutaneous arteriography: a new technique.
        Acta Radiol. 1953; 39: 368-376
        • Brusasco C.
        • Corradi F.
        • Zattoni P.L.
        • et al.
        Ultrasound-guided central venous cannulation in bariatric patients.
        Obes Surg. 2009; 19: 1365-1370
        • Peres P.W.
        Positioning central venous catheters-A prospective survey.
        Anaesth Intensive Care. 1990; 18: 536-539
        • Czepizak C.A.
        • O’Callaghan J.M.
        Evaluation of formulas for optimal positioning of central venous catheters.
        Chest. 1995; 107: 1662-1664
        • Joshi A.M.
        • Bhosale G.P.
        • Parikh G.P.
        • et al.
        Optimal positioning of right-sided internal jugular venous catheters: comparison of intra-atrial electrocardiography versus Peres’ formula.
        Indian J Crit Care Med. 2008; 12: 10-14
        • Andrews R.T.
        • Bova D.A.
        • Venbrux A.C.
        How much guidewire is too much? Direct measurement of the distance from subclavian and internal jugular vein access sites to the superior vena cava-atrial junction during central venous catheter placement.
        Crit Care Med. 2000; 28: 138-142
        • Maecken T.
        • Grau T.
        Ultrasound imaging in vascular access.
        Crit Care Med. 2007; 35: S178-S185
        • Legler D.
        • Nugent M.
        Doppler localization of the internal jugular vein facilitates central venous cannulation.
        Anesthesiology. 1984; 60: 481-482
        • Mallory D.L.
        • Shawker T.H.
        Ultrasound guidance improves the success rate of internal jugular vein cannulation.
        Chest. 1990; 98: 157-160
        • Teichgraber U.K.
        • Benter T.
        • Gebel M.
        • et al.
        A sonographically guided technique for central venous access.
        AJR Am J Roentgenol. 1997; 169: 731-733
        • Denys B.G.
        • Reddy P.S.
        Ultrasound-assisted cannulation of the internal jugular vein.
        Circulation. 1993; 87: 1557-1562
        • Leung J.
        • Duffy M.
        • Finckh A.
        Real-time ultrasonographically-guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study.
        Ann Emerg Med. 2006; 48: 540-547
        • Lefrant J.Y.
        • Cuvillon P.
        • Benezet J.F.
        • et al.
        Pulsed Doppler ultrasonography guidance for catheterization of the subclavian vein: a randomized study.
        Anesthesiology. 1998; 88: 1195-1201
        • Bold R.J.
        • Winchester D.J.
        • MadaryAR
        • et al.
        Prospective randomized trial of Doppler-assisted subclavian vein catheterization.
        Arch Surg. 1998; 133: 1089-1093
        • Hind D.
        • Calvert N.
        • McWilliams R.
        • et al.
        Ultrasonic locating devices for central venous cannulation: meta-analysis.
        BMJ. 2003; 327: 361
        • Karakitsos D.
        • Labropoulos N.
        • De Groot E.
        • et al.
        Real-time ultrasound-guided catheterization of the internal jugular vein: a prospective comparison with the landmark technique in critical care patients.
        Crit Care. 2006; 10: R162
        • Graham A.S.
        • Ozment C.
        • Tegtmeyer K.
        • et al.
        Central venous catheterization.
        N Engl J Med. 2007; 356: e21
        • Hrics P.
        • Wilber S.
        • Blanda M.P.
        • et al.
        Ultrasound-assisted internal jugular vein catheterization in the ED.
        Am J Emerg Med. 1998; 16: 401-403
        • Fujiki M.
        • Guta C.G.
        • Lemmens H.J.
        • et al.
        Is it more difficult to cannulate the right internal jugular vein in morbidly obese patients than in non-obese patents?.
        Obes Surg. 2008; 18: 1157-1159
        • Barsuk J.H.
        • McGaghie W.C.
        • Cohen E.R.
        • et al.
        Simulation-based mastery learning reduces complications during central venous catheter insertion in a medical intensive care unit.
        Crit Care Med. 2009; 37: 2697-2701
        • Levin P.D.
        • Sheinin O.
        • Gozal Y.
        Use of ultrasound guidance in the insertion of radial artery catheters.
        Crit Care Med. 2003; 31: 481-484
        • Sandhu N.S.
        • Patel B.
        Use of ultrasonography as a rescue technique for failed radial artery cannulation.
        J Clin Anesth. 2006; 18: 138-141
        • Schwemmer U.
        • Arzet H.A.
        • Trautner H.
        • et al.
        Ultrasound-guided arterial cannulation in infants improves success rate.
        Eur J Anaesthesiol. 2006; 23: 476-480
        • Sandhu N.S.
        The use of ultrasound for axillary artery catheterization through pectoral muscles: a new anterior approach.
        Anesth Analg. 2004; 99: 562-565
        • Tsao S.L.
        • Chen K.Y.
        • Hsu W.T.
        • et al.
        A modified technique for ultrasound-guided cannulation of radial and brachial arteries in patients with circulation collapse.
        Acta Anaesthesiol Taiwan. 2008; 46: 91-94
        • Brannam L.
        • Blaivas M.
        • Lyon M.
        • et al.
        Emergency nurses’ utilization of ultrasound guidance for placement of peripheral intravenous lines in difficult-access patients.
        Acad Emerg Med. 2004; 11: 1361-1363
        • Costantino T.G.
        • Parikh A.K.
        • Satz W.A.
        • et al.
        Ultrasonography-guided peripheral intravenous access versus traditional approaches in patients with difficult intravenous access.
        Ann Emerg Med. 2005; 46: 456-461
        • Keyes L.E.
        • Frazee B.W.
        • Snoey E.R.
        • et al.
        Ultrasound-guided brachial and basilic vein cannulation in emergency department patients with difficult intravenous access.
        Ann Emerg Med. 1999; 34: 711-714
        • Blaivas M.
        • Brannam L.
        • Fernandez E.
        Short-axis vs long-axis approaches for teaching ultrasound-guided vascular access on a new inanimate model.
        Acad Emerg Med. 2003; 10: 1307-1311
        • Sandhu N.P.S.
        • Sidhu D.S.
        Mid-arm approach to basilic and cephalic vein cannulation using ultrasound guidance.
        Br J Anaesth. 2004; 93: 292-294
        • Stein J.C.
        • Cole W.
        • Kramer N.
        • et al.
        Ultrasound-guided peripheral intravenous cannulation in emergency department patients with difficult IV access.
        Acad Emerg Med. 2004; 11: 581-582
        • Mills C.N.
        • Leibmann O.
        • Stone M.B.
        • et al.
        Ultrasonographically guided insertion of a 15cm catheter into the deep brachial or basilic veins in patients with difficult intravenous access.
        Ann Emerg Med. 2007; 50: 68-72
        • Robinson M.K.
        • Mogensen K.M.
        • Grudinskas G.F.
        • et al.
        Improved care and reduced costs for patients requiring peripherally inserted central catheters: the role of bedside ultrasound and a dedicated team.
        JPEN J Parenter Enteral Nutr. 2005; 29: 374-379
        • Thompson E.C.
        • Wilkins H.E.
        Insufficient length of pulmonary artery introducer in an obese patient.
        Arch Surg. 2004; 139: 794-796
        • Snyder D.
        Evaluation of the obese patient.
        in: Longnecker D. Tinker J. Morgan G. Principles and practices of anesthesiology. Mosby, St Louis (MO)1998: 507-527
        • Collis T.
        • Devereux R.B.
        • Roman M.J.
        • et al.
        Relations of stroke volume and cardiac output to body composition: the strong heart study.
        Circulation. 2001; 103: 820-825
        • Pascual M.
        • Pascual D.A.
        • Soria F.
        • et al.
        Effects of isolated obesity on systolic and diastolic left ventricular function.
        Heart. 2003; 89: 1152-1156
        • Lambert D.M.
        • Marceau S.
        • Forse R.A.
        Intra-abdominal pressure in the morbidly obese.
        Obes Surg. 2005; 15: 1225-1232
        • El-Dawlatly A.A.
        • Al-Dohayan A.
        • Favretti F.
        • et al.
        Anesthesia for morbidly obese patients: a study of hemodynamic changes during bariatric surgery.
        Middle East J Anesthesiol. 2002; 16: 411-417
        • Dumont L.
        • Mattys M.
        • Mardirosoff C.
        • et al.
        Hemodynamic changes during laparoscopic gastroplasty in morbidly obese patients.
        Obes Surg. 1997; 7: 326-331
        • Stelfox H.T.
        • Ahmed S.B.
        • Ribeiro R.A.
        • et al.
        Hemodynamic monitoring in obese patients: the impact of body mass index on cardiac output and stroke volume.
        Crit Care Med. 2006; 34: 1243-1246
        • Shoemaker W.C.
        • Belzberg H.
        • Wo C.C.
        • et al.
        Multicenter study of noninvasive monitoring systems as alternatives to invasive monitoring of acutely ill emergency patients.
        Chest. 1998; 114: 1643-1652
        • Pittman J.
        • Bar-Yosef S.
        • SumPing J.
        • et al.
        Continuous cardiac output monitoring with pulse contour analysis: a comparison with lithium indicator dilution cardiac output measurement.
        Crit Care Med. 2005; 33: 2015-2021
        • Bein B.
        • Worthmann F.
        • Tonner P.H.
        • et al.
        Comparison of esophageal Doppler, pulse contour analysis, and real-time pulmonary artery thermodilution for the continuous measurement of cardiac output.
        J Cardiothorac Vasc Anesth. 2004; 18: 185-189
        • Brumfield A.M.
        • Andrew M.E.
        Digital pulse contour analysis: investigating age-dependent indices of arterial compliance.
        Physiol Meas. 2005; 26: 599-608
        • Horswell J.
        • Worley T.
        Continuous cardiac output measured by arterial pulse pressure analysis in surgical patients.
        Crit Care Med. 2005; 33: A67
        • Manecke G.R.
        • Peterson M.
        • Auger W.R.
        Cardiac output determination using the arterial pulse wave: a comparison of a novel algorithm against continuous and intermittent thermodilution.
        Crit Care Med. 2004; 32: A43
        • Jain A.K.
        • Dutta A.
        Stroke volume variation as a guide to fluid administration in morbidly obese patients undergoing laparoscopic bariatric surgery.
        Obes Surg. 2010; 20: 709-715
        • Mayer J.
        • Boldt J.
        • Beschmann R.
        • et al.
        Uncalibrated arterial pressure waveform analysis for less-invasive cardiac output determination in obese patients undergoing cardiac surgery.
        Br J Anaesth. 2009; 103: 185-190
        • Bernard S.A.
        • Morley P.T.
        • Hoek T.L.
        • et al.
        Treatment of comatose survivors from out-of hospital cardiac arrest with induced hypothermia.
        N Engl J Med. 2002; 346: 557-563
        • The Hypothermia after Cardiac Arrest Study Group
        Mild hypothermia to improve the neurological outcome after cardiac arrest.
        N Engl J Med. 2002; 346: 549-556
        • Nolan J.P.
        • Morley P.T.
        • Hoek T.L.
        • et al.
        Advancement Life Support Task Force of the International Liaison Committee on Resuscitation: therapeutic hypothermia after cardiac arrest: an advisory statement by the Advancement Life Support Task Force of the International Liaison committee on Resuscitation.
        Resuscitation. 2003; 57: 231-235
        • Bernard S.
        Hypothermia after cardiac arrest: expanding the therapeutic scope.
        Crit Care Med. 2009; 37: S227-S233
        • Polderman K.H.
        Application of therapeutic hypothermia in the intensive care unit. Opportunities and pitfalls of a promising treatment modality—Part 2: practical aspects and side effects.
        Intensive Care Med. 2004; 30: 757-769
        • Krieger D.W.
        • De Georgia M.A.
        • Abou-Chebl A.
        • et al.
        Cooling for acute ischemic brain damage (COOL AID): an open pilot study of induced hypothermia in acute ischemic stroke.
        Stroke. 2001; 32: 1847-1854
        • Steinberg G.K.
        • Ogilvy C.S.
        • Shuer L.M.
        • et al.
        Comparison of endovascular and surface cooling during unruptured cerebral aneurysm repair.
        Neurosurgery. 2004; 55: 307-314
        • Rosetti V.A.
        • Thompson B.M.
        • Miller J.
        • et al.
        Intraosseous infusion: an alternative route of pediatric intravascular access.
        Ann Emerg Med. 1985; 14: 885-888
      1. American Heart Association in collaboration with the International Liaison Committee on Resuscitation, guidelines for cardiopulmonary resuscitation and emergency cardiovascular care: pediatric advanced life support.
        Circulation. 2005; 112 (IV1–203)
        • Brenner T.
        • Bernhard M.
        • Helm M.
        • et al.
        Comparison of two intraosseous infusion systems for adult emergency medical use.
        Resuscitation. 2008; 78: 314-319
        • Leidel B.A.
        • Kirchhoff C.
        • Braunstein V.
        • et al.
        Comparison of two intraosseous access devices in adult patients under resuscitation in the emergency department: a prospective, randomized study.
        Resuscitation. 2010; 81: 994-999
        • Leidel B.A.
        • Kirchhoff C.
        • Bogner V.
        • et al.
        Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency department? A prospective observational pilot study.
        Patient Saf Surg. 2009; 3: 24
        • Macnab A.
        • Christenson J.
        • Findlay J.
        • et al.
        A new system for sternal intraosseous infusion in adults.
        Prehosp Emerg Care. 2000; 4: 173-177
        • Frascone R.
        • Kaye K.
        • Dries D.
        • et al.
        successful placement of an adult sternal intraosseous line through burned skin.
        J Burn Care Rehabil. 2003; 24: 306-308