Determinación de las complicaciones relacionadas a colocación de cateter central, en paciente atendidos por el servicio de cirugia general del Hospital Dr. Salvador Bienvenido Gautier, Santo Domingo, D. N. enero-abril 2018

Abstract

La colocación de catéter intravasculares es de uso frecuente para el menejo diagnostico y/o terapéuticos de los pacientes ingresados en los diferentes centros de salud, con el objetivo de determinar las complicaciones relacionadas a la colocación de catéter venoso central, se realizo un estudio descriptivo y prospeptivo, de corte transversal en el Hospital Salvador B. Gautier durante el periodo enero – abril 2018. Se estudiaron 136 pacientes, de los cuales 52 pacientes presentaron algún grado de complicacion. El 23 porciento de los pacientes tenían edades comprendida entre 50 y 59 años, el sexo femenino fue el más afectado con un 74 porciento, el 27 porciento de los pacientes tenían como morbilidad hipertensión arterial, el sitio de mayor punciones fue yugular interna con un 67 porciento, el tiempo de canalización mas frecuente fue de 0 – 5 minutos con un 62 porciento, el 42 porciento de los pacientes tuvo una puncion a estructuras vecinas, seguido con un 23 porciento los hematomas del sitio de puncion, el neumotórax estuvo presente en el 15 porciento de los pacientes, mientras que el hemotorax se presento en el 12 porciento de los pacientes, siendo la fibrilación auricular la de menor presentación para 8 porciento de los pacientes, al 67 porciento de los pacientes se le realizo una toracotomía minima bajo sello de agua, el 63 porciento de los pacientes tuvo una colocación fácil del catéter venoso central.

Intravascular catheter placement is often used for diagnostic and / or therapeutic management of patients admitted to different health centers, in order to determine the complications related to the placement of central venous catheter, a descriptive study was carried out. Prospective, cross-sectional study at Hospital Salvador B. Gautier during the period January - April 2018. 136 patients were studied, of which 52 patients presented some degree of complication. Twenty-three percent of the patients were between 50 and 59 years old, the female sex was the most affected with 74 percent, 27 percent of the patients had arterial hypertension as the morbidity, the highest puncture site was internal jugular with 67 percent, the most frequent channeling time was 0 - 5 minutes with 62 percent, 42 percent of patients had a puncture to neighboring structures, with a 23 percent hematomas of the puncture site, pneumothorax was present in 15 percent of patients, while the hemothorax is present in 12 percent of patients, remained less presentation of atrial fibrillation for 8 percent of the patients, while 67 percent of patients underwent a minimum thoracotomy under seal of water , 63 percent of the patients had an easy placement of the central venous catheter.

Intravascular catheter placement is often used for diagnostic and / or therapeutic management of patients admitted to different health centers, in order to determine the complications related to the placement of central venous catheter, a descriptive study was carried out. Prospective, cross-sectional study at Hospital Salvador B. Gautier during the period January - April 2018. 136 patients were studied, of which 52 patients presented some degree of complication. Twenty-three percent of the patients were between 50 and 59 years old, the female sex was the most affected with 74 percent, 27 percent of the patients had arterial hypertension as the morbidity, the highest puncture site was internal jugular with 67 percent, the most frequent channeling time was 0 - 5 minutes with 62 percent, 42 percent of patients had a puncture to neighboring structures, with a 23 percent hematomas of the puncture site, pneumothorax was present in 15 percent of patients, while the hemothorax is present in 12 percent of patients, remained less presentation of atrial fibrillation for 8 percent of the patients, while 67 percent of patients underwent a minimum thoracotomy under seal of water , 63 percent of the patients had an easy placement of the central venous catheter.