Mikolajczuk JJA, Briones CG, Camacho MJP, Añorve RI, López RSE, Rodríguez ZJM, Palacios CA, Esqueda DN

Language: Spanish
References: 15
Page: 131-135
PDF size: 51.93 Kb.

ABSTRACT

Background: Since its introduction into clinical practice, percutaneous puncture of the right internal jugular vein has been the method preferred by anesthesiologists for central venous access. The selection of the safest and most effective placement of central venous catheter requires taking into account several aspects. Objective: To compare two groups, indicating placement of central venous catheter to assess the number of attempts, ease of access and complications, using the method in a group guided by anatomical structures and the other the use of ultrasound. Material and methods: A total sample of 60 patients, divided into 2 groups: the control group were placed central venous catheter with the conventional method, the study group were fitted with the use of ultrasound. Results: The variables with statistically significant p are the number of attempts, with a p of .001, a history of abnormal neck with a p of .014 and the presence of complications with a p of .027. Conclusions: Ultrasound is not better in terms of access successful, however, in patients with higher BMI or a history of alteration in the neck if it is better.

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