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2015, Number 1

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Rev Mex Cir Pediatr 2015; 19 (1)

Complicaciones inmediatas de colocación de catéteres

Carmona-Moya AJ, Delgado-Porras A, De La Puente-Murguía R, Romero-Montes V, Sámano-Pozos JE

Language: Spanish
References: 21
Page: 28-34
PDF size: 264.80 Kb.


ABSTRACT

Introduction Central venous catheters (CVCs) are placed by different Sevices in a given Hospital Unit by different physicians with different techniques potentially harmful in a 2-15%. This essay compares mechanical complications associated to the catheterization of a central vein catheter placed by different Fellow Residents.
Materials and Methods Retrospective, descriptive, observational, cross-sectional study. Identifying 68 pediatric files who had a CVC placed between December 2013 and March 2014.
Results. 68 catheters were placed, 48 using a blind modified Seldinger technique, 20 were placed using an open cutdown technique. Mechanical complications were present in 49 (72%) cases, being the most common Second Operator. There were a higher number of complications among the procedures performed by 1st year Fellow Interns. Complication rates by Service: Neonatology 78%, PICU 88% and Pediatric Surgery 60%.
Discussion Minor complications were predominant, representing a higher percentage compared to what is referred by international literature, given that in this last one USG imaging is used. Open cut technique had a lower number of complications compared to the modified Seldinger technique.


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