Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia
Introduction: The use of central venous catheters (CVCs) in the emergency room (ER) is a valuable tool for the comprehensive management of critically ill patients; however, the positioning of these devices is not free of complications. Currently, the use of ultrasound is considered a useful and safe...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2018
- Institución:
- Universidad del Rosario
- Repositorio:
- Repositorio EdocUR - U. Rosario
- Idioma:
- eng
- OAI Identifier:
- oai:repository.urosario.edu.co:10336/22728
- Acceso en línea:
- https://doi.org/10.2147/OAEM.S150966
https://repository.urosario.edu.co/handle/10336/22728
- Palabra clave:
- Aged
Artery puncture
Article
Cardiogenic shock
Chylothorax
Colombia
Controlled study
Coronary artery disease
Critically ill patient
Cross-sectional study
Emergency physician
Emergency ward
Hematoma
Human
Infection
Internal jugular vein
Major clinical study
Male
Medical record
Observational study
Pneumothorax
Resuscitation
Retrospective study
Sepsis
Central catheter
Colombia
Critical care
Emergency room
Ultrasound
- Rights
- License
- Abierto (Texto Completo)
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5947862e-e725-4ac8-af86-552347ac5cae-16de2a03e-d985-4e7d-b087-6c3765f0b12e-1dfbc1428-424e-4e23-a23a-c356dec9b330-1f2c3622b-a715-4b22-a73e-9c50f90b3a71-12020-05-25T23:57:42Z2020-05-25T23:57:42Z2018Introduction: The use of central venous catheters (CVCs) in the emergency room (ER) is a valuable tool for the comprehensive management of critically ill patients; however, the positioning of these devices is not free of complications. Currently, the use of ultrasound is considered a useful and safe tool to carry out these procedures, but in Colombia, the number of emergency departments providing this tool is scarce and there is no literature describing the experience in our country. Objective: The objective of this study was to describe the experience regarding placement of ultrasound-guided CVCs by emergency physicians in an institution in Bogotá, as well as the associated complications. Materials and methods: This is a descriptive cross-sectional retrospective study. Medical records of 471 patients requiring insertion of CVCs in the resuscitation area from January 2014 to December 2014 were reviewed. Insertion site and complications are described. Results: For 471 total cases, the average age of patients was 68.6 years, the most frequent diagnosis was sepsis (30.7%), the preferred route of insertion was the right internal jugular vein, and insertion was successful at the first attempt in 85.9% of patients. Pneumothorax was the most common complication (1.2%), followed by extensive hematoma and infection. Conclusion: Insertion of ultrasound-guided CVCs by emergency physicians is a safe procedure that involves complications similar to those reported in the literature; it is necessary to expand the use of ultrasound-guided CVCs in ERs. © 2018 Devia Jaramillo et al.application/pdfhttps://doi.org/10.2147/OAEM.S15096611791500https://repository.urosario.edu.co/handle/10336/22728engDove Medical Press Ltd6561Open Access Emergency MedicineVol. 10Open Access Emergency Medicine, ISSN:11791500, Vol.10,(2018); pp. 61-65https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064648141&doi=10.2147%2fOAEM.S150966&partnerID=40&md5=404647f0eca1b378d77a18aeb1f512e1Abierto (Texto Completo)http://purl.org/coar/access_right/c_abf2instname:Universidad del Rosarioreponame:Repositorio Institucional EdocURAgedArtery punctureArticleCardiogenic shockChylothoraxColombiaControlled studyCoronary artery diseaseCritically ill patientCross-sectional studyEmergency physicianEmergency wardHematomaHumanInfectionInternal jugular veinMajor clinical studyMaleMedical recordObservational studyPneumothoraxResuscitationRetrospective studySepsisCentral catheterColombiaCritical careEmergency roomUltrasoundUltrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, ColombiaarticleArtículohttp://purl.org/coar/version/c_970fb48d4fbd8a85http://purl.org/coar/resource_type/c_6501Devia Jaramillo, GermanTorres Castillo, JennyLozano, FreddyRamírez, AngélicaORIGINALOAEM-150966-central-venous-catheter-guided-by-ultrasonography-in-emergen_052318.pdfapplication/pdf310378https://repository.urosario.edu.co/bitstreams/d3b31cb2-ff6e-47a8-ab75-70ad5dec28f5/downloadc1cce5475af0e061a346766cec95d433MD51TEXTOAEM-150966-central-venous-catheter-guided-by-ultrasonography-in-emergen_052318.pdf.txtOAEM-150966-central-venous-catheter-guided-by-ultrasonography-in-emergen_052318.pdf.txtExtracted texttext/plain21551https://repository.urosario.edu.co/bitstreams/a7d57c90-3e62-41f4-8251-747d4dc0d2c5/downloada2706ea4284ad7e8a80cf76e9dd06970MD52THUMBNAILOAEM-150966-central-venous-catheter-guided-by-ultrasonography-in-emergen_052318.pdf.jpgOAEM-150966-central-venous-catheter-guided-by-ultrasonography-in-emergen_052318.pdf.jpgGenerated Thumbnailimage/jpeg4185https://repository.urosario.edu.co/bitstreams/66fd1a9b-2b7f-4c83-9c2c-43fefab35171/download2f1ce61be540768a01a41af202db7396MD5310336/22728oai:repository.urosario.edu.co:10336/227282022-05-02 07:37:19.377315https://repository.urosario.edu.coRepositorio institucional EdocURedocur@urosario.edu.co |
dc.title.spa.fl_str_mv |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
title |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
spellingShingle |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia Aged Artery puncture Article Cardiogenic shock Chylothorax Colombia Controlled study Coronary artery disease Critically ill patient Cross-sectional study Emergency physician Emergency ward Hematoma Human Infection Internal jugular vein Major clinical study Male Medical record Observational study Pneumothorax Resuscitation Retrospective study Sepsis Central catheter Colombia Critical care Emergency room Ultrasound |
title_short |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
title_full |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
title_fullStr |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
title_full_unstemmed |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
title_sort |
Ultrasound-guided central venous catheter placement in the emergency department: Experience in a hospital in Bogotá, Colombia |
dc.subject.keyword.spa.fl_str_mv |
Aged Artery puncture Article Cardiogenic shock Chylothorax Colombia Controlled study Coronary artery disease Critically ill patient Cross-sectional study Emergency physician Emergency ward Hematoma Human Infection Internal jugular vein Major clinical study Male Medical record Observational study Pneumothorax Resuscitation Retrospective study Sepsis Central catheter Colombia Critical care Emergency room Ultrasound |
topic |
Aged Artery puncture Article Cardiogenic shock Chylothorax Colombia Controlled study Coronary artery disease Critically ill patient Cross-sectional study Emergency physician Emergency ward Hematoma Human Infection Internal jugular vein Major clinical study Male Medical record Observational study Pneumothorax Resuscitation Retrospective study Sepsis Central catheter Colombia Critical care Emergency room Ultrasound |
description |
Introduction: The use of central venous catheters (CVCs) in the emergency room (ER) is a valuable tool for the comprehensive management of critically ill patients; however, the positioning of these devices is not free of complications. Currently, the use of ultrasound is considered a useful and safe tool to carry out these procedures, but in Colombia, the number of emergency departments providing this tool is scarce and there is no literature describing the experience in our country. Objective: The objective of this study was to describe the experience regarding placement of ultrasound-guided CVCs by emergency physicians in an institution in Bogotá, as well as the associated complications. Materials and methods: This is a descriptive cross-sectional retrospective study. Medical records of 471 patients requiring insertion of CVCs in the resuscitation area from January 2014 to December 2014 were reviewed. Insertion site and complications are described. Results: For 471 total cases, the average age of patients was 68.6 years, the most frequent diagnosis was sepsis (30.7%), the preferred route of insertion was the right internal jugular vein, and insertion was successful at the first attempt in 85.9% of patients. Pneumothorax was the most common complication (1.2%), followed by extensive hematoma and infection. Conclusion: Insertion of ultrasound-guided CVCs by emergency physicians is a safe procedure that involves complications similar to those reported in the literature; it is necessary to expand the use of ultrasound-guided CVCs in ERs. © 2018 Devia Jaramillo et al. |
publishDate |
2018 |
dc.date.created.spa.fl_str_mv |
2018 |
dc.date.accessioned.none.fl_str_mv |
2020-05-25T23:57:42Z |
dc.date.available.none.fl_str_mv |
2020-05-25T23:57:42Z |
dc.type.eng.fl_str_mv |
article |
dc.type.coarversion.fl_str_mv |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_6501 |
dc.type.spa.spa.fl_str_mv |
Artículo |
dc.identifier.doi.none.fl_str_mv |
https://doi.org/10.2147/OAEM.S150966 |
dc.identifier.issn.none.fl_str_mv |
11791500 |
dc.identifier.uri.none.fl_str_mv |
https://repository.urosario.edu.co/handle/10336/22728 |
url |
https://doi.org/10.2147/OAEM.S150966 https://repository.urosario.edu.co/handle/10336/22728 |
identifier_str_mv |
11791500 |
dc.language.iso.spa.fl_str_mv |
eng |
language |
eng |
dc.relation.citationEndPage.none.fl_str_mv |
65 |
dc.relation.citationStartPage.none.fl_str_mv |
61 |
dc.relation.citationTitle.none.fl_str_mv |
Open Access Emergency Medicine |
dc.relation.citationVolume.none.fl_str_mv |
Vol. 10 |
dc.relation.ispartof.spa.fl_str_mv |
Open Access Emergency Medicine, ISSN:11791500, Vol.10,(2018); pp. 61-65 |
dc.relation.uri.spa.fl_str_mv |
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064648141&doi=10.2147%2fOAEM.S150966&partnerID=40&md5=404647f0eca1b378d77a18aeb1f512e1 |
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Abierto (Texto Completo) |
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Dove Medical Press Ltd |
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