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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Sociedad Médica de Santiago
2019
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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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