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...

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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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spelling 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
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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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