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2011, Number 2

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Rev Cub Med Int Emerg 2011; 10 (2)

Safety of the canalization of central venous routes in the hospital urgency services

Franco HJA, Cubián GI, Lahoz RD, García HA, Barona RA

Language: Spanish
References: 20
Page: 2152-2160
PDF size: 154.82 Kb.


ABSTRACT

Introduction: The canalization of a central venous route is the puncture of high gauge vein no visualized and no palpable, but that it is possible with the help of determined anatomical references. This technique even in expert hands is not free from risks. From some years ago and parallel to boom of Emergency Medicine, the specialists of such services acquire and assume a great number of abilities including the canalization of central routes, which is very useful for management of patients presenting with a high vital risk.
Objectives: To analyze the indications, complications and differences of central venous accesses canalized in the Urgencies Services of the ‘Miguel Servet” University Hospital of Zaragoza over 18 months.
Methods: A prospective and descriptive study including the central routes canalized in patients seen in the Urgency Service of a University Hospital of 1 200 beds. Among other data is included the sex, age, prescription, type of route and the potential complications derived from its placement.
Results: For study 136 central routes were collected. The main indications were the septic patient and the poly-traumata patient. A 10,29 % of patients developed infection associated with catheter and only there was a case of pneumothorax. There are not significant differences between both types of approach, with a complication rates similar to those published by other authors in Intensive Care Services.
Conclusions: Canalization of central routes in a Hospital Urgency Service could be considered as a safe and useful technique.


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