Cannulation of the Popliteal Vein as an Intraoperative Emergency Access in Prone Position: A Case Report
Abstract
Intravenous cannulation can be a challenging issue in hospitalized patients, especially during the perioperative period. Objectives: In this study we will present our experience about an emergency popliteal vein cannulation during surgery. We successfully cannulated the popliteal vein in a prone position with an ultrasound guide in an emergency situation. Conclusion: The popliteal vein can be a safe intravenous access during surgeries in a prone position without significant adverse events.
[1] Kammerer T, Brezina T. Cannulation of the popliteal vein as an intraoperative emergency access in prone position: A case report. J Vasc Access. 2021;23(5):816-8.
[2] Yang MX, Ng PK. Central venous catheter insertion in the prone position-a last resort in critically ill COVID-19 patients. J Intensive Care Med. 2021;36(3):373-5.
[3] Andaloussi MR, Touab R, Samali EM, Balkhi H. The larger the better: Tourniquet-facilitated popliteal vein cannulation for vascular access in prone position. Anaesth Crit Care Pain Med. 2021;40(4):100913.
[4] Hadaya J, Benharash P. Prone positioning for acute respiratory distress syndrome (ARDS). Jama. 2020;324(13):1361-.
[5] Chua EX, Zahir SMISM, Ng KT, Teoh WY, Hasan MS, Ruslan SRB, Abosamak MF. Effect of prone versus supine position in COVID-19 patients: A systematic review and meta-analysis. J Clin Anesth. 2021;74:110406.
[6] Shi L, Chen Q, Yang R, Liao L, Zhang J, Liu Y. Challenges of PICC placement via the popliteal vein under ultrasound guidance in a patient with severe burns: A case report. J Vasc Access. 2024:11297298241245066.
[7] Balakrishnan N, Beaini H, Carter S, Araj FG. Bedside popliteal vein cannulation for simultaneous plasmapheresis and renal replacement therapy in the prone position. J Invasive Cardiol. 2024; 36(5).
[8] Hamed MO, Abdelmagid M, Ahmed M. Popliteal venous access for renal replacement therapy in a critically ill patient with central access failure. BMJ Case Reports CP. 2024;17(5):e258796.
[9] Woo K, Rigberg D, Lawrence PF. Safe central venous access in an overburdened health system. JAMA. 2021;325(3):299-300.
[10] Zingg W, Pittet D. Peripheral venous catheters: an under-evaluated problem. Int J Antimicrob Agents. 2009;34:S38-S42.
[11] Chen S, O'Malley M, Chopra V. How common are indwelling devices in hospitalized adults? A contemporary point prevalence study in a tertiary care hospital. Am J Infect Control. 2021;49(2):194-7.
[12] Piper R, Carr PJ, Kelsey LJ, Bulmer AC, Keogh S, Doyle BJ. The mechanistic causes of peripheral intravenous catheter failure based on a parametric computational study. Sci Rep. 2018;8(1):3441.
[13] Larsen P, Eldridge D, Brinkley J, Newton D, Goff D, Hartzog T, et al. Pediatric peripheral intravenous access: does nursing experience and competence really make a difference? J Infus Nurs. 2010;33(4):226-35.
[14] Legemaat M, Carr PJ, van Rens RM, van Dijk M, Poslawsky IE, van den Hoogen A. Peripheral intravenous cannulation: complication rates in the neonatal population: a multicenter observational study. J Vasc Access. 2016;17(4):360-5.
[15] Peterson KA, Phillips AL, Truemper E, Agrawal S. Does the use of an assistive device by nurses impact peripheral intravenous catheter insertion success in children? J Pediatr Nurs. 2012;27(2):134-43.
[16] Reigart JR, Chamberlain KH, Eldridge D, O’Brien ES, Freeland KD, Larsen P, et al. Peripheral intravenous access in pediatric inpatients. Clin Pediatr. 2012;51(5):468-72.
[17] Witting MD. IV access difficulty: incidence and delays in an urban emergency department. J Emerg Med. 2012;42(4):483-7.
[18] Whalen M, Maliszewski B, Baptiste D-L. Establishing a dedicated difficult vascular access team in the emergency department: a needs assessment. J Infus Nurs. 2017;40(3):149-54.
[19] Ehrhardt BS, Givens KE, Lee RC. Making it stick: developing and testing the difficult intravenous access (DIVA) tool. Am J Nurs. 2018;118(7):56-62.
[20] August D, Ullman A, Rickard C, New K. Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey. J Neonatal Nurs. 2019;25(5):240-4.
[21] Sebbane M, Claret P-G, Lefebvre S, Mercier G, Rubenovitch J, Jreige R, et al. Predicting peripheral venous access difficulty in the emergency department using body mass index and a clinical evaluation of venous accessibility. J Emerg Med. 2013;44(2):299-305.
[22] Sou V, McManus C, Mifflin N, Frost SA, Ale J, Alexandrou E. A clinical pathway for the management of difficult venous access. BMC Nurs. 2017;16:1-7.
[23] van Loon FH, Leggett T, Bouwman AR, Dierick-van Daele AT. Cost-utilization of peripheral intravenous cannulation in hospitalized adults: An observational study. J Vasc Access. 2020;21(5):687-93.
[24] Marsh N, Larsen E, Genzel J, Mihala G, Ullman AJ, Kleidon T, et al. A novel integrated dressing to secure peripheral intravenous catheters in an adult acute hospital: a pilot randomised controlled trial. Trials. 2018;19:1-10.
[25] Cooke M, Ullman AJ, Ray-Barruel G, Wallis M, Corley A, Rickard CM. Not" just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries. PloS one. 2018;13(2):e0193436.
[26] Schoenfeld E, Shokoohi H, Boniface K. Ultrasound-guided peripheral intravenous access in the emergency department: patient-centered survey. West J Emerg Med. 2011;12(4):475.
[27] Schults J, Rickard C, Kleidon T, Paterson R, Macfarlane F, Ullman A. Difficult peripheral venous access in children: an international survey and critical appraisal of assessment tools and escalation pathways. J Nurs Scholarsh. 2019;51(5):537-46.
[28] Stolz LA, Cappa AR, Minckler MR, Stolz U, Wyatt RG, Binger CW, et al. Prospective evaluation of the learning curve for ultrasound-guided peripheral intravenous catheter placement. J Vasc Access. 2016;17(4):366-70.
[29] Archer‐Jones A, Snelling PJ, Watkins S. Establishing a hospital‐based ultrasound‐guided peripheral intravenous catheter training programme: a narrative of a 5‐year experience. Emerg Med Australas. 2020;32(6):1080-3.
[30] Akhavan A, Gainsburg DM, Stock JA. Complications associated with patient positioning in urologic surgery. Urology. 2010;76(6):1309-16.
[31] St‐Arnaud D, Paquin MJ. Safe positioning for neurosurgical patients. AORN J. 2008;87(6):1156-72.
[32] Sridhar DC, Abou-Ismail MY, Ahuja SP. Central venous catheter-related thrombosis in children and adults. Thromb Res. 2020;187:103-12.
[33] Gunawansa N, Sudusinghe DH, Wijayaratne DR. Hemodialysis catheter-related central venous thrombosis: clinical approach to evaluation and management. Ann Vasc Surg. 2018;51:298-305.
[34] Verso M, Agnelli G. Venous thromboembolism associated with long-term use of central venous catheters in cancer patients. J Clin Oncol. 2003;21(19):3665-75.
[35] Parienti J-J, Mongardon N, Mégarbane B, Mira J-P, Kalfon P, Gros A, et al. Intravascular complications of central venous catheterization by insertion site. N Engl J Med. 2015;373(13):1220-9.
[36] Gahlot R, Nigam C, Kumar V, Yadav G, Anupurba S. Catheter-related bloodstream infections. Int J Crit Illn Inj Sci. 2014;4(2):162-7.
[2] Yang MX, Ng PK. Central venous catheter insertion in the prone position-a last resort in critically ill COVID-19 patients. J Intensive Care Med. 2021;36(3):373-5.
[3] Andaloussi MR, Touab R, Samali EM, Balkhi H. The larger the better: Tourniquet-facilitated popliteal vein cannulation for vascular access in prone position. Anaesth Crit Care Pain Med. 2021;40(4):100913.
[4] Hadaya J, Benharash P. Prone positioning for acute respiratory distress syndrome (ARDS). Jama. 2020;324(13):1361-.
[5] Chua EX, Zahir SMISM, Ng KT, Teoh WY, Hasan MS, Ruslan SRB, Abosamak MF. Effect of prone versus supine position in COVID-19 patients: A systematic review and meta-analysis. J Clin Anesth. 2021;74:110406.
[6] Shi L, Chen Q, Yang R, Liao L, Zhang J, Liu Y. Challenges of PICC placement via the popliteal vein under ultrasound guidance in a patient with severe burns: A case report. J Vasc Access. 2024:11297298241245066.
[7] Balakrishnan N, Beaini H, Carter S, Araj FG. Bedside popliteal vein cannulation for simultaneous plasmapheresis and renal replacement therapy in the prone position. J Invasive Cardiol. 2024; 36(5).
[8] Hamed MO, Abdelmagid M, Ahmed M. Popliteal venous access for renal replacement therapy in a critically ill patient with central access failure. BMJ Case Reports CP. 2024;17(5):e258796.
[9] Woo K, Rigberg D, Lawrence PF. Safe central venous access in an overburdened health system. JAMA. 2021;325(3):299-300.
[10] Zingg W, Pittet D. Peripheral venous catheters: an under-evaluated problem. Int J Antimicrob Agents. 2009;34:S38-S42.
[11] Chen S, O'Malley M, Chopra V. How common are indwelling devices in hospitalized adults? A contemporary point prevalence study in a tertiary care hospital. Am J Infect Control. 2021;49(2):194-7.
[12] Piper R, Carr PJ, Kelsey LJ, Bulmer AC, Keogh S, Doyle BJ. The mechanistic causes of peripheral intravenous catheter failure based on a parametric computational study. Sci Rep. 2018;8(1):3441.
[13] Larsen P, Eldridge D, Brinkley J, Newton D, Goff D, Hartzog T, et al. Pediatric peripheral intravenous access: does nursing experience and competence really make a difference? J Infus Nurs. 2010;33(4):226-35.
[14] Legemaat M, Carr PJ, van Rens RM, van Dijk M, Poslawsky IE, van den Hoogen A. Peripheral intravenous cannulation: complication rates in the neonatal population: a multicenter observational study. J Vasc Access. 2016;17(4):360-5.
[15] Peterson KA, Phillips AL, Truemper E, Agrawal S. Does the use of an assistive device by nurses impact peripheral intravenous catheter insertion success in children? J Pediatr Nurs. 2012;27(2):134-43.
[16] Reigart JR, Chamberlain KH, Eldridge D, O’Brien ES, Freeland KD, Larsen P, et al. Peripheral intravenous access in pediatric inpatients. Clin Pediatr. 2012;51(5):468-72.
[17] Witting MD. IV access difficulty: incidence and delays in an urban emergency department. J Emerg Med. 2012;42(4):483-7.
[18] Whalen M, Maliszewski B, Baptiste D-L. Establishing a dedicated difficult vascular access team in the emergency department: a needs assessment. J Infus Nurs. 2017;40(3):149-54.
[19] Ehrhardt BS, Givens KE, Lee RC. Making it stick: developing and testing the difficult intravenous access (DIVA) tool. Am J Nurs. 2018;118(7):56-62.
[20] August D, Ullman A, Rickard C, New K. Peripheral intravenous catheter practices in Australian and New Zealand neonatal units: A cross-sectional survey. J Neonatal Nurs. 2019;25(5):240-4.
[21] Sebbane M, Claret P-G, Lefebvre S, Mercier G, Rubenovitch J, Jreige R, et al. Predicting peripheral venous access difficulty in the emergency department using body mass index and a clinical evaluation of venous accessibility. J Emerg Med. 2013;44(2):299-305.
[22] Sou V, McManus C, Mifflin N, Frost SA, Ale J, Alexandrou E. A clinical pathway for the management of difficult venous access. BMC Nurs. 2017;16:1-7.
[23] van Loon FH, Leggett T, Bouwman AR, Dierick-van Daele AT. Cost-utilization of peripheral intravenous cannulation in hospitalized adults: An observational study. J Vasc Access. 2020;21(5):687-93.
[24] Marsh N, Larsen E, Genzel J, Mihala G, Ullman AJ, Kleidon T, et al. A novel integrated dressing to secure peripheral intravenous catheters in an adult acute hospital: a pilot randomised controlled trial. Trials. 2018;19:1-10.
[25] Cooke M, Ullman AJ, Ray-Barruel G, Wallis M, Corley A, Rickard CM. Not" just" an intravenous line: Consumer perspectives on peripheral intravenous cannulation (PIVC). An international cross-sectional survey of 25 countries. PloS one. 2018;13(2):e0193436.
[26] Schoenfeld E, Shokoohi H, Boniface K. Ultrasound-guided peripheral intravenous access in the emergency department: patient-centered survey. West J Emerg Med. 2011;12(4):475.
[27] Schults J, Rickard C, Kleidon T, Paterson R, Macfarlane F, Ullman A. Difficult peripheral venous access in children: an international survey and critical appraisal of assessment tools and escalation pathways. J Nurs Scholarsh. 2019;51(5):537-46.
[28] Stolz LA, Cappa AR, Minckler MR, Stolz U, Wyatt RG, Binger CW, et al. Prospective evaluation of the learning curve for ultrasound-guided peripheral intravenous catheter placement. J Vasc Access. 2016;17(4):366-70.
[29] Archer‐Jones A, Snelling PJ, Watkins S. Establishing a hospital‐based ultrasound‐guided peripheral intravenous catheter training programme: a narrative of a 5‐year experience. Emerg Med Australas. 2020;32(6):1080-3.
[30] Akhavan A, Gainsburg DM, Stock JA. Complications associated with patient positioning in urologic surgery. Urology. 2010;76(6):1309-16.
[31] St‐Arnaud D, Paquin MJ. Safe positioning for neurosurgical patients. AORN J. 2008;87(6):1156-72.
[32] Sridhar DC, Abou-Ismail MY, Ahuja SP. Central venous catheter-related thrombosis in children and adults. Thromb Res. 2020;187:103-12.
[33] Gunawansa N, Sudusinghe DH, Wijayaratne DR. Hemodialysis catheter-related central venous thrombosis: clinical approach to evaluation and management. Ann Vasc Surg. 2018;51:298-305.
[34] Verso M, Agnelli G. Venous thromboembolism associated with long-term use of central venous catheters in cancer patients. J Clin Oncol. 2003;21(19):3665-75.
[35] Parienti J-J, Mongardon N, Mégarbane B, Mira J-P, Kalfon P, Gros A, et al. Intravascular complications of central venous catheterization by insertion site. N Engl J Med. 2015;373(13):1220-9.
[36] Gahlot R, Nigam C, Kumar V, Yadav G, Anupurba S. Catheter-related bloodstream infections. Int J Crit Illn Inj Sci. 2014;4(2):162-7.
| Files | ||
| Issue | Article in Press |
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| Section | Case Report(s) | |
| Keywords | ||
| Intravenous line Popliteal vein Prone position Ultrasound | ||
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How to Cite
1.
Sezari P, Madadi F, Asgari S. Cannulation of the Popliteal Vein as an Intraoperative Emergency Access in Prone Position: A Case Report. Arch Anesth & Crit Care. 2025;.
