Prevalencia de neumotórax por inserción de catéter venoso central subclavio, en pacientes adultos de la Clínica 100 de Bogotá D.C, Colombia, año 2015 2016
Pneumothorax is the main mechanical complication secondary to subclavian central venous catheter insertion; however, it has not been studied in the Colombian population. For this reason, the prevalence of this complication was determined in adult patients of Clinica 100, in 2015 and 2016. An observa...
- Autores:
-
León Parra, Astrid Valeria
Rey Ramos, Christian Eduardo
Suárez Angarita, Elkin Julián
Vengoechea Gutiérrez, Nicole Dayana
- Tipo de recurso:
- Trabajo de grado de pregrado
- Fecha de publicación:
- 2017
- Institución:
- Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
- Repositorio:
- Repositorio Institucional UDCA
- Idioma:
- spa
- OAI Identifier:
- oai:repository.udca.edu.co:11158/795
- Acceso en línea:
- https://repository.udca.edu.co/handle/11158/795
- Palabra clave:
- Neumotórax
Prevalencia
Catéter venoso central subclavio
Complicación
Pulmones -- Enfermedades
Cateterismo
Medicina
- Rights
- closedAccess
- License
- Derechos Reservados - Universidad de Ciencias Aplicadas y Ambientales
| Summary: | Pneumothorax is the main mechanical complication secondary to subclavian central venous catheter insertion; however, it has not been studied in the Colombian population. For this reason, the prevalence of this complication was determined in adult patients of Clinica 100, in 2015 and 2016. An observational descriptive retrospective study was performed, all patients who met inclusion and exclusion criteria were included. We reviewed 93 clinical histories. We determined measures of central tendency, measures of dispersion and significant statistical tests, Chi square and Pearson’s correlation coefficient, to determine association between variables. It was established that the population was homogenous with respect to sex, with an average age of 61.1 years and body mass index in normal parameters. The main indication for this intervention was total parenteral nutrition. It was determined that the prevalence of pneumothorax in the population is 7.5%, more frequently in women, aged between 48 and 62 years, with right approach, and in patients in whom ultrasound guidance was not used for catheter insertion. It showed that the number of needle insertion attempts (r = 0.63) and age (r =0.37) have a positive direct correlation with the pneumothorax presentation. In addition, it was found that the physician’s experience in the procedure, decreases the complication. |
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