SciELO - Scientific Electronic Library Online

 
vol.147 número4Características clínicas, esquemas de tratamiento, grado de control y variables asociadas a este en una cohorte de adultos con diabetes mellitus tipo 1 en un centro terciarioEfectos de un programa de entrenamiento multicomponente en la marcha funcional en pacientes con Parkinson índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

MULLER-ORTIZ, Hans et al. Prevalence of complications associated with central venous catheter instalation for hemodyalisis. Rev. méd. Chile [online]. 2019, vol.147, n.4, pp.458-464. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872019000400458.

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.

Palabras clave : Central Venous Catheters; Dialysis; Renal Replacement Therapy; Ultrasonography.

        · texto en Español     · Español ( pdf )