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VENTAJAS DE LA APLICACION DE LA ECOGRAFIA COMO GUIA PARA LA COLOCACION DE ACCESOS VASCULARES EN PEDIATRIA

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VENTAJAS DE LA APLICACION DE LA ECOGRAFIA COMO GUIA PARA LA COLOCACION DE ACCESOS VASCULARES EN PEDIATRIA

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La guía por ecografía para los accesos vasculares incrementa la seguridad y la eficacia durante el cateterismo venoso de la vena yugular interna en pacientes pediátricos, pero se dispone de escasos datos sobre la canalización de las venas subclavia y femoral. La técnica aumenta la tasa de resultados positivos en el primer intento, reduce las complicaciones y es rentable.
Autor:
Matteo Subert
Columnista Experto de SIIC

Institución:
Istituto Neurologico C. Besta

Artículos publicados por Matteo Subert
Coautores
Davide Vailati* Massimo Lamperti* Dario Caldiroli** 
MD, Istituto Neurologico C. Besta, Milán, Italia*
MD, Chief Department, Istituto Neurologico C. Besta, Milán, Italia**
Recepción del artículo
14 de Diciembre, 2010 		Aprobación
10 de Julio, 2011
Primera edición
27 de Julio, 2011 		Segunda edición, ampliada y corregida
7 de Junio, 2021

VENTAJAS DE LA APLICACION DE LA ECOGRAFIA COMO GUIA PARA LA COLOCACION DE ACCESOS VASCULARES EN PEDIATRIA

Resumen
Está demostrado que la guía por ecografía para los accesos vasculares incrementa la seguridad y la eficacia durante el cateterismo venoso central en los adultos. Se han informado resultados similares en la población pediátrica para la canalización de la vena yugular interna, pero se dispone de escasos datos sobre el uso de esta tecnología para la canalización de las venas subclavia y femoral. Los metanálisis actuales no han favorecido la utilización de puntos de referencia de superficie en relación con la canalización guiada por ecografía. La guía por ultrasonografía incrementa la tasa de resultados positivos en el primer intento, reduce las complicaciones y es rentable. El acceso venoso central más difundido en pacientes pediátricos es la vena yugular interna, pero pueden utilizarse las venas subclavia, braquiocefálica y femoral. Se necesita un abordaje metodológico de esta técnica y un extenso entrenamiento en ecografía para la realización de este procedimiento en pacientes pediátricos.

Palabras clave
ecografía, acceso vascular, pediatría, venas centrales


Artículo completo
(castellano)
Extensión:  +/-9.3 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

Ultrasound Guidance in Central Vascular Access: The Standard of Care

Abstract
Ultrasound guidance during vascular access has been demonstrated to increase safety and efficacy during central venous catheter placement in adults. Similar results are reported in the pediatric population during internal jugular vein cannulation but there is still lack of evidence with the use of this technology during subclavian and femoral vein cannulation. Current meta-analyses did not succeed in favoring landmarks approach more than ultrasound guided cannulation. Ultrasound guidance enhances success at first time, reduces complications and is cost-effective. The most popular central venous access in pediatric patients is the internal jugular vein but subclavian vein, brachio-cephalic and femoral vein could be used. A methodological approach to this technique is necessary and an extensive training in ultrasound are necessary when performing the procedure in pediatric patients.

Key words
ultrasound, vascular access, pediatric, central veins


Full text
(english)
 para suscriptores/ assinantes
Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Diagnóstico por Imágenes, Pediatría
Relacionadas: Cardiología, Cirugía, Cuidados Intensivos, Medicina Interna



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Enviar correspondencia a:
Massimo Lamperti, Istituto Neurologico C. Besta Department of Neuroanesthesia, 20136, Via Celoria, 11, Milán, Italia
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