Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis / Prevalence of complications associated with central venous catheter instalation for hemodyalisis
Rev. méd. Chile
;
147(4): 458-464, abr. 2019. tab
Artículo
en Español
| LILACS
| ID: biblio-1014247
ABSTRACT
Background:
Placing central venous lines under ultrasonographic guidance reduces the complications of the procedure.Aim:
To compare prevalences of complications of central venous line placements with or without ultrasonographic guidance. Material andMethods:
Descriptive study that contemplated the comparison of two groups of patients subjected to a central venous line placement at a nephrology service for renal replacement therapy. In one group of 100 patients, the line was placed without ultrasonographic guidance between 2008 and 2012. Between 2015 and 2017 the line was placed in 138 patients using ultrasonographic guidance. The prevalences of complications with both types of procedures were recorded.Results:
The frequency of complications of procedures with and without ultrasonographic guidance was 0.7 and 18% respectively (prevalence ratio 0.04, 95% confidence interval 0-0.3). Ninety five percent of recorded complications were arterial puncture, followed by hematomas in 10% and pneumothorax in 5%. The higher prevalence of complications was observed in emergency line placement without ultrasonographic guidance. There was a direct association between the number of line placement attempts in a single procedure and the prevalence of complications.Conclusions:
Ultrasonographic guidance is associated with a reduction in the prevalence of central venous line complications.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Cateterismo Venoso Central
/
Diálisis Renal
/
Catéteres Venosos Centrales
/
Complicaciones Intraoperatorias
Tipo de estudio:
Estudio de etiología
/
Guía de Práctica Clínica
/
Estudio observacional
/
Estudio de prevalencia
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2019
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Las Higueras de Talcahuano/CL
/
Universidad de Concepción/CL
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