Browsing by Author "Caraguay Aguinsaca, Diana Elizabeth"

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    Prevalencia de complicaciones y factores asociados a la colocación de catéter venoso central ecoguiado y por reparos anatómicos. Hospitales Vicente Corral Moscoso y José Carrasco Arteaga. Cuenca 2017
    (2019) García Orellana, Paola Andrea; Caraguay Aguinsaca, Diana Elizabeth; Palacios Reinoso, Carlos Santiago
    Central venous catheters are devices that are inserted into main venous vessels to administer drugs, fluids, parenteral nutrition, or determine physiological constants. Complication rates between 5% and 19% are reported. Objective: Know the prevalence of complications and associated factors when placing an echoguided central venous catheter and for anatomical landmarks at the Hospitals Vicente Corral Moscoso and José Carrasco Arteaga. Methodology: An analytical cross-sectional study was designed. Universe: Patients undergoing Central Venous Catheter placement in the operating room of the Hospitals Vicente Corral Moscoso and José Carrasco Arteaga from June 2017 to May 2018. Inclusion criteria: Patients older than 18 years who were placed Central Venous Catheter in Operating Room. Exclusion criteria: Patients that doesn`t accept the study. Variables: Age, Sex, BMI, ASA, Pathology, Neck diameter, Neck length, Number of punctures, Procedure duration, Technique, Location, Complications. In the hypothesis test, the relative risk was calculated with the 95% confidence interval and value of p <0.05. Results: The study was performed in 460 patients, with 15.9% of complications. Under ultrasound supervision, 86% of catheters were placed and 14% by anatomical repairs. The technique with the highest prevalence of complications is due to anatomical repairs (32.8%) compared to ultrasound (13.1%). The most common complication was arterial puncture with 6.5%. Conclusions: The ultrasound-guided technique is more successful with a single puncture, and a lower prevalence of complications.