Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis

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 and Methods: Descriptive study that contemplated...

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Autores principales: Müller-Ortiz,Hans, Pedreros-Rosales,Cristian, Silva-Carvajal,Juan Pablo, Kraunik-Rodríguez,David, Vera-Calzaretta,Aldo, González-Burboa,Alexis, Cament-Muñoz,René, Taylor-Montoya,Susan, Müller-Henríquez,Natalia, Chávez-Campodónico,Tatiana, Rivas-Calabrán,Luisa
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2019
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000400458
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spelling oai:scielo:S0034-988720190004004582019-08-14Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisisMüller-Ortiz,HansPedreros-Rosales,CristianSilva-Carvajal,Juan PabloKraunik-Rodríguez,DavidVera-Calzaretta,AldoGonzález-Burboa,AlexisCament-Muñoz,RenéTaylor-Montoya,SusanMüller-Henríquez,NataliaChávez-Campodónico,TatianaRivas-Calabrán,Luisa Central Venous Catheters Dialysis Renal Replacement Therapy Ultrasonography 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 and Methods: 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.147 n.4 20192019-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000400458es10.4067/S0034-98872019000400458
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Central Venous Catheters
Dialysis
Renal Replacement Therapy
Ultrasonography
spellingShingle Central Venous Catheters
Dialysis
Renal Replacement Therapy
Ultrasonography
Müller-Ortiz,Hans
Pedreros-Rosales,Cristian
Silva-Carvajal,Juan Pablo
Kraunik-Rodríguez,David
Vera-Calzaretta,Aldo
González-Burboa,Alexis
Cament-Muñoz,René
Taylor-Montoya,Susan
Müller-Henríquez,Natalia
Chávez-Campodónico,Tatiana
Rivas-Calabrán,Luisa
Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
description 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 and Methods: 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.
author Müller-Ortiz,Hans
Pedreros-Rosales,Cristian
Silva-Carvajal,Juan Pablo
Kraunik-Rodríguez,David
Vera-Calzaretta,Aldo
González-Burboa,Alexis
Cament-Muñoz,René
Taylor-Montoya,Susan
Müller-Henríquez,Natalia
Chávez-Campodónico,Tatiana
Rivas-Calabrán,Luisa
author_facet Müller-Ortiz,Hans
Pedreros-Rosales,Cristian
Silva-Carvajal,Juan Pablo
Kraunik-Rodríguez,David
Vera-Calzaretta,Aldo
González-Burboa,Alexis
Cament-Muñoz,René
Taylor-Montoya,Susan
Müller-Henríquez,Natalia
Chávez-Campodónico,Tatiana
Rivas-Calabrán,Luisa
author_sort Müller-Ortiz,Hans
title Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
title_short Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
title_full Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
title_fullStr Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
title_full_unstemmed Prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
title_sort prevalencias de complicaciones asociadas a la instalación de catéter venoso central para hemodiálisis
publisher Sociedad Médica de Santiago
publishDate 2019
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872019000400458
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