Morbilidad asociada al empleo del acceso vascular profundo, 2006 / Morbidity associated with the use of deep vascular approach, 2006

Authors

  • Darelys Baños Sánchez Instructora. Lic. MsC en Urgencias Médicas en Atención Primaria de Salud. Especialista de Primer Grado en Enfermería Intensiva. Hospital Pediátrico Provincial Docente"Pepe Portilla". Pinar del Río.
  • Salvador Sánchez García Profesor Auxiliar. Lic. MsC en Bioética. Hospital Pediátrico Provincial Docente"Pepe Portilla". Pinar del Río.
  • Anabel González Miranda Instructora. Lic. MsC en Atención Integral al niño. Hospital Pediátrico Provincial Docente"Pepe Portilla". Pinar del Río.
  • Isandra Pratt Ribet Instructora. Lic. MsC. en Medicina Bioenergética y Natural. Hospital Pediátrico Provincial Docente"Pepe Portilla". Pinar del Río.
  • Aimara García Martínez Instructora. Lic. MsC. en Medicina Bioenergética y Natural. Hospital Pediátrico Provincial Docente"Pepe Portilla". Pinar del Río.

Abstract

Los catéteres intravasculares se han convertido en un instrumento indispensable en las Unidades de Cuidados Intensivos Pediátricos, (U.C.I.P). Se analizó la morbimortalidad asociada al empleo de Abordajes Vasculares Profundos (AVP) en la UCIP, Hospital Pediátrico Provincial Docente Pepe Portilla, 2006. Investigación aplicada descriptiva, observacional, prospectiva y longitudinal desde el 1ro de enero al 31 de diciembre, 2006. Se confeccionó un modelo de recolección de datos para la recogida de las variables evaluadas relacionadas con la muestra. Se aplicaron los métodos bioestadísticas adecuados. Todos los pacientes ingresados, a los que se les realizaron A.V.P. Alta incidencia en el uso de estos procederes prevaleciendo en los menores de un año, por más de 10 días, con la infección como principal complicación y poca relación de estos procederes con las causas de fallecimiento. Estos procederes mantienen su alta prevalencia en las UCIP. La infección es la complicación más frecuente en esta UCIP. No hay relación entre los A.V.P y las causas de fallecimiento.

Palabras clave: Abordaje venoso profundo, catéteres venosos centrales.

ABSTRACT

Intravascular catheters have become into an indispensable tool in the Paediatric Intensive Care Units (PICU). Morbidity associated with the use of Deep Vascular Approaches during 2006 in the PICU of "Pepe Portilla" Provincial University Paediatric Hospital was analyzed. A descriptive, observational, prospective and longitudinal research was carried out from January 1 to December 31, 2006. A model to collect the data and the variables evaluated related to the sample was created. Suitable bio-statistical methods were applied. All in-patients. In-patients who underwent to Deep Vascular Approach. High incidence in the use of these procedures that prevailed in children under one year old for more than 10 days suffering from an infection as a main complication, and not much relation to the use of these procedures with the cause of death was observed. The use of these procedures maintains high prevalence in the PICU. The infection is the most frequent complication. No relation between Deep Vascular Approaches and causes of death was observed.

Key words: Deep vascular approach, central venous catheters

Downloads

Download data is not yet available.

References

1. Brum- Buisson C. Suspected central venous catheter-associated infection: can the catheter be safely retained? Intensive care Med. 2004; 30:1005-1007.

2. UNINET."Principios de Urgencias, Emergencias y Cuidados Críticos". Disponible en: http://www.uclm.es/ab/enfermería/revista/numero%2015.flebitis. 2007.

3. Nursing Photobook. "Cuidados de Enfermería Pediátrica." Ed: Doyma; 2004.

4. Hasset Jimmy Jiménez, R." Urgencias en Pediatría. Vía Intraósea." Disponible en http://www.spp.org.py.280206.htm/. Martínez, J.A. Y Cols. "Cánulas intravenosas: complicaciones derivadas de su utilización y análisis de los factores predisponentes". Medicina Crítica. 2006; 103:89-93.

5. Agee KR, Balk RA: Central venous catheterization in the critically ill patient. Crit Care Clin. 2006; 8:677.

6. Intravenous techniques. En: Textbook of Advanced Cardiac Life Support. Dallas, American Heart Association; 2005.

7. Bone RC: The technique of subclavian and femoral vein cannulation. J Crit Illness. 2004; 3:61.

8. Englelstein ED, Zipes DP. Sudden cardiac death. En: Alexander RW, Schlant RC, Fuster, editores. The heart arteries and veins. Nueva York: Mc Graw-Hill. 2007; 1081-1112.

9. Hohn Ar, Lambert Ec. Continuous venous catheterization in children. JAMA. 2006; 197:658.

10. Rubinson l,Haponik EF, Wu AW, Diette GB. Internists´ Adherente to Guidelines for Prevention of Intravascular Catheter Infections. JAMA 2003; 290: 2802. Hallado en [Pubmed- indexced for MEDLINE] revisado Mayo 2007.

11. Díaz Alersi R. Adherencia a las guías clínicas sobre prevención de infecciones asociadas a catéter. 2003;(12): p 686. Disponible en: http://remi@united.edv/2003/12/REMI0694.htm Acceso: Mayo 2007.

12. Rosen M, Latto I, Shang W. Handbook of percutaneous central venous Catheterization. Ed: Saunders Co. Philadelphia; 2006.

13. Didier Pittet D, Harbarth SJ. El control de la infección en terapia intensiva. Medicina Intensiva, Dr. Carlos Lovesio: Editorial El Ateneo, Buenos Aires; 2006.

14. Iraola Ferrer MD. Calidad en la medicina de emergencia. Rev Electrón Biomed Electrón J Biomed 2004; 1: 24-39. Disponible en http://www.rev.electron.biomed/ Electrón. Acceso Enero 2007.

15. Rowin ME, Patel VV, Christenson JC. Pediatric intensive care unit nosocomial infections: epidemiology, sources and solutions. Crit Care Clin. 2006; 19: 473-487.

Downloads

How to Cite

1.
Baños Sánchez D, Sánchez García S, González Miranda A, Pratt Ribet I, García Martínez A. Morbilidad asociada al empleo del acceso vascular profundo, 2006 / Morbidity associated with the use of deep vascular approach, 2006. Rev Ciencias Médicas [Internet]. 2012 Oct. 26 [cited 2025 Aug. 29];13(1):68-76. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/466

Issue

Vol. 13 No. 1 (2009)

Section

ORIGINAL ARTICLES

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/