Nueva técnica de colocación de catéter venoso central, guiada por electrocardiograma intracavitario, Unidad de Cuidados Intensivos del Hospital Vicente Corral Moscoso. Periodo febrero-octubre, Cuenca 2019.

Abstract

Background: Central venous catheters (CVC) are procedures implemented in critical patients in the intensive care units (ICU). The proper position of these assures an optimum functioning, due to it is necessary to check the positioning through a standard chest x-ray. Nowadays, the setting of the CVC guided by electrocardiography is an alternative and safe technique that allows a reduction of the patient's exposure to radiation and reduces hospital expenses. Objective: To analyze the new setting technique of central venous catheter guided by intracavitary electrocardiogram in patients hospitalized in the intensive care unit of the Vicente Corral Moscoso Hospital, February-October period, Cuenca 2019. Methodolgy: A descriptive, observational, retrospective study was done in order to evaluate the efficacy and safety of a CVC setting guided by intracavitary electrocardiogram. The medical records of patients hospitalized in the intensive care unit that they accomplished the inclusion criteria were included. The information was collected using a form prepared by the authors, and subsequently, for the analysis a digital database of free statistical software compatible with Windows X was processed. Results: The analyzed universe was 25 patients, to whom were placed on CVC guided by intracavitary electrocardiogram, where we have determined a technical efficacy of 72%, on the other hand, a prevalence of total complications of 4%, as well as bacteremia related to catheterization with a rate of 5.52 x 1000 patient days. Conclusions: Based on the results, the efficacy of the new setting technique of the central venous catheter is close to international studies, and complications are also relatively infrequent.