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
Artigo
em Espanhol
| LILACS
| ID: biblio-1014247
Biblioteca responsável:
CL1.1
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:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Cateterismo Venoso Central
/
Diálise Renal
/
Cateteres Venosos Centrais
/
Complicações Intraoperatórias
Tipo de estudo:
Estudo de etiologia
/
Guia de prática clínica
/
Estudo observacional
/
Estudo de prevalência
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Hospital Las Higueras de Talcahuano/CL
/
Universidad de Concepción/CL