Summary
The author reports a case of efficient ultrasound-guided central venous catheterization during cardiopulmonary resuscitation in an emergency setting. The patient, a 57-year-old female with severe coronary artery disease, experienced sudden asystolic cardiac arrest during stabilization after resuscitation.
Due to the need for percutaneous pacing wires, a second cannulation attempt of the right internal jugular vein (RIJV) was required. Traditional landmark technique failed, but using ultrasound guidance (Sonosite, Micromaxx®), the RIJV was successfully cannulated at the first attempt, allowing the insertion of pacing wires.
Despite interventions, the patient unfortunately did not survive. The author emphasizes the potential benefits of ultrasound guidance in emergencies for central venous access, reducing attempts and insertion time, particularly in patients with abnormal anatomy or coagulopathy. The author suggests further evaluation of ultrasound guidance in various emergency settings, including cardiac arrest scenarios.
