Ultrasound-guided insertion and the proportion of catheter-associated thrombosis

Licencia CC 4.0 (BY-NC-ND) © 2023 Revista Médica del Instituto Mexicano del Seguro Social..

Background: Central venous accesses are of great importance in daily medical practice. Insertion into the jugular vein is common due to its accessibility. Catheter-associated venous thrombosis is a relatively common medium-term complication. The use of ultrasound to guide catheterization offers multiple advantages and promises to make vascular access installation a safer technique.

Objective: To compare the proportion of catheter-associated jugular thrombosis when an anatomical landmark technique is used with respect to the ultrasound-guided technique.

Material and methods: An observational, cross-sectional, and analytical study that compares the frequency of thrombosis when the ultrasound-guided technique was used concerning anatomical reference technique in patients in an intensive care unit.

Results: A total of 91 patients were studied: in 44 an ultrasound-guided technique was used, and in 47 anatomical references. A single case of mural thrombosis (2.7%) was observed in the ultrasound-guided insertion group vs. 11 cases (23.4%) in the other group, resulting in a significant association between the anatomical reference insertion technique and thrombosis. Chi squared (1, n = 91) = 8.86, p = 0.004.

Conclusion: The proportion of catheter-associated jugular thrombosis is greater when an anatomical reference technique is used compared to the ultrasound-guided technique.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Revista medica del Instituto Mexicano del Seguro Social - 61(2023), Suppl 2 vom: 18. Sept., Seite S90-S95

Sprache:

Spanisch

Weiterer Titel:

Inserción con técnica ecoguiada y la proporción de trombosis asociada a catéter

Beteiligte Personen:

Godínez-García, Francisco [VerfasserIn]
López-Briones, José Sergio [VerfasserIn]
Hernández-González, Martha Alicia [VerfasserIn]
González-Carrillo, Pedro Luis [VerfasserIn]

Themen:

Catéteres
Catheters
Comparative Study
Cross-Sectional Studies
English Abstract
Estudios Transversales
Journal Article
Observational Study
Thrombosis
Trombosis
Ultrasonografía
Ultrasonography

Anmerkungen:

Date Completed 29.11.2023

Date Revised 04.01.2024

published: Electronic

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365023892