2017, Number 2
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Acta Med 2017; 15 (2)
Installation of central venous catheter by ultrasound. Experience of the Intensive Care Unit of Hospital Ángeles del Pedregal
Enriquez VA, Hernández CC, Carrillo RSC, Esponda PJG
Language: Spanish
References: 12
Page: 118-122
PDF size: 432.07 Kb.
ABSTRACT
The installation of a central venous catheter is a common
situation in intensive care units. Since 1978 it was
described the first ultrasound-guided catheterisation,
thus demonstrating its effectiveness and decreased
of mechanical complications.
Objective: Identify the
effectiveness of the placement of central venous catheter
using ultrasound, and the complications attributable to the
procedure.
Methodology: Descriptive observational and
longitudinal study of patients in which the placement of
a central internal jugular venous catheter was attempted
with the help of ultrasound in the Adult ICU of the Hospital
Angeles Pedregal between September 22, 2015 and
July 31, 2016. We sought to fi nd the success rate and
the identification of the likely immediate complications
attributable to the procedure.
Results: The study group
was formed of 35 patients. The placement of 33 of the 35
were considered successful; success rate of 94.28%. The
major collapse of the internal jugular vein and an arterial
puncture were determined as the reason for not successful
placement.
Conclusions: The use of ultrasound for the
placement of central venous access is an effective and low
complication rate procedure.
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