Abstract This patient was a 73-year-old man who initially came to our service with acute respiratory failure secondary to COVID-19. Soon after hospitalization, he was submitted to orotracheal intubation and placed in the prone position to improve hypoxia, due to severe acute respiratory syndrome (SARS). On the third day of hospitalization, he developed acute oliguric kidney injury and volume overload. The nephrology service was activated to obtain deep venous access for renal replacement therapy (RRT). The patient could not be placed in the supine position due to significant hypoxemia. A 50-cm Permcath (MAHURKARTM, Covidien, Massachusetts, USA) was inserted through the left popliteal vein. This case report describes a possible challenging scenario that the interventional nephrologist may encounter when dealing with patients with COVID-19 with respiratory impairment in the prone position.
【저자키워드】 kidney, Coronavirus infections, patients, renal replacement therapy, Infecções por Coronavirus, Rim, Popliteal Cyst, Pronation, Terapia de Substituição Renal, Veia poplítea, Pronação, Pacientes, 【초록키워드】 COVID-19, Prone position, Respiratory failure, Hospitalization, hypoxia, intubation, Case report, Kidney injury, Hypoxemia, Patient, USA, Massachusetts, Supine position, Volume, RRT, acute respiratory syndrome, respiratory impairment, venous, IMPROVE, activated, submitted, Covidien, patients with COVID-19, popliteal, 【제목키워드】 Prone position, therapy, Critical, patient with COVID-19, popliteal,