Complicaciones del catéter central subclavio guiado por Doppler o repagos anatómicos: Hospital de San José, Bogotá D.C. Colombia

Content Provider	Semantic Scholar
Author	García, Sara Eugenia Narváez, Antonio J. Peña, Esperanza Bernal, Alexandra
Copyright Year	2010
Abstract	El paso de cateteres venosos centrales ya sea bajo la tecnica de reparos anatomicos (convencional) o la guiada por doppler duplex, es una practica comun en el medio hospitalario. La evidencia sugiere ventajas para el doppler y los accesos a la vena subclavia o la innominada son los mas comunes. El grupo desconoce estudios que comparen los dos abordajes. El presente analisis evalua la frecuencia de complicaciones tempranas y tardias derivadas del paso de cateter con las dos tecnicas, mediante un diseno descriptivo longitudinal. Se seleccionaron 50 pacientes, 22 bajo guia doppler y 28 por reparos anatomicos. La frecuencia total de complicaciones fue del 20%, y de estas 20% tempranas y el 80% tardias. Usando reparos anatomicos ocurrieron todas las complicaciones tempranas (neumotorax y hematoma del sitio de puncion) y 37% de las tardias, mientras que con doppler fueron 63% de las tardias (infeccion). Las limitantes del diseno escogido y el numero de pacientes impiden la generalizacion de las observaciones obtenidas pero son de utilidad para futuros estudios.(AU) Central venous catheter insertion by anatomic landmarks (conventional) or doppler-guided is a common practice at the hospital setting. Evidence suggests advantages of the doppler-assisted technique and access to the subclavia or innominate veins is the most common. The group is not aware of other comparative studies on this topic. This paper evaluates the frequency of early and late complications derived from catheter insertion with the two techniques using a descriptive longitudinal design study. Fifty (50) patients were selected, 22 underwent doppler-assisted catheter insertion and 28 were conducted using anatomic landmarks. The total complication rate was 20%, of which 20% were early complications and 80% were late complications. All early complications (e.g. neumothorax and hematoma at the site of puncture) and 37% of late complications occured using anatomic landmarks, whereas, 63% of patients presented late complications (infection) with the doppler technique. Obtained observations could not be generalized because of selected study design and number of patient limitations but they are useful for further study.(AU)
Starting Page	28
Ending Page	34
Page Count	7
File Format	PDF HTM / HTML
DOI	10.31260/repertmedcir.v19.n1.2010.567
Volume Number	19
Alternate Webpage(s)	https://www.fucsalud.edu.co/sites/default/files/2017-01/4.pdf
Alternate Webpage(s)	https://doi.org/10.31260/repertmedcir.v19.n1.2010.567
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article