Instalación de catéter venoso central por ultrasonido. Experiencia de la Unidad de Terapia Intensiva del Hospital Ángeles Pedregal

Abstract

The installation of a central venous catheter is a common situation in intensive care units. Since 1978 it was described the first ultrasound-guided catheterisation, thus demonstrating its effectiveness and decreased of mechanical complications. Objective: Identify the effectiveness of the placement of central venous catheter using ultrasound, and the complications attributable to the procedure. Methodology: Descriptive observational and longitudinal study of patients in which the placement of a central internal jugular venous catheter was attempted with the help of ultrasound in the Adult ICU of the Hospital Angeles Pedregal between September 22, 2015 and July 31, 2016. We sought to fi nd the success rate and the identifi cation of the likely immediate complications attributable to the procedure. Results: The study group was formed of 35 patients. The placement of 33 of the 35 were considered successful; success rate of 94.28%. The major collapse of the internal jugular vein and an arterial puncture were determined as the reason for not successful placement. Conclusions: The use of ultrasound for the placement of central venous access is an effective and low complication rate procedure.