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Case Summary A previously healthy man, intubated in the intensive care unit (ICU) for respiratory failure due to coronavirus disease 2019 (COVID-19), required central venous access for vasopressor infusion. The intensivists were occupied managing other critically ill patients, so an available intern attempted to place a triple-lumen catheter in the right internal jugular vein using only anatomic landmarks for guidance. When the access needle was inserted, pulsatile return of blood was noted. What Should Be Done Next? Remove the needle and hold pressure. Place a small single-lumen catheter to prevent bleeding. Use a percutaneous closure device to close the puncture site.

United statesLos angelesEdwardh livingstonUniversity of californiaDivision of vascular surgeryDepartment of surgeryUltrasound guided popliteal vein accessBox section refDeputy editorKaren wooVascular surgeryஒன்றுபட்டது மாநிலங்களில்லாஸ் ஏஞ்சல்ஸ்பல்கலைக்கழகம் ஆஃப் கலிஃபோர்னியாபிரிவு ஆஃப் வாஸ்குலர் அறுவை சிகிச்சைதுறை ஆஃப் அறுவை சிகிச்சை