Molina RV, Montelongo FJ, Tapia VR, Galindo AJ, Herrera MBE, Salazar MA

Language: Spanish
References: 6
Page: 669-673
PDF size: 268.58 Kb.

ABSTRACT

Introduction: the placement of a central venous catheter is one of the most common procedures in hospitals, and most are related to health care or health care with specific indications and are routinely performed guided by anatomical references. Although there are few reports of pregnant patients in the world literature. There are factors related to vascular access with known anatomical references. However, little is known about this association in pregnancy. The purpose of the research is to expand the current knowledge of vascular anatomy in obstetric patients and, with the help of bedside ultrasound, to identify anatomical variations compared to those recorded in the general population. In addition, document whether the presence of these variations is associated with pregnancy progression. This is of great importance for public health and patient safety, as the Maternal and Perinatal Morbidity and Mortality Committees record maternal deaths due to central vascular access. Objective: to describe the venous and arterial relationships of the main puncture sites, which are used for central vascular access, in patients in the first, second and third trimesters of pregnancy and puerperium. Material and methods: a prospective, cross-sectional and descriptive study was carried out, the variables were expressed in frequency and percentage, carried out in the Intensive Care Unit of the General Hospital of Ecatepec "Las Américas" of the Health Institute of the State of Mexico. Results: a total of 27.5% of anatomical variation was determined in the first trimester of pregnancy; a 32.5% variation in the second trimester of pregnancy, a total of 29.46% variation in the third trimester of pregnancy; and a 28.57% variation in the puerperium. A total of all cases in pregnancy and puerperium was 28.75%. Conclusion: the anatomical variation found is very high than expected in obstetric patients, identifying that 3 out of 10 obstetric patients may have a threat to life if they undergo a central venous access guided by anatomical references, a point to consider in relation to maternal morbidity and mortality in the country.

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