Eficacia de la técnica de canalización de la vena subclavia por acceso supraclavicular guiada por ultrasonografía en pacientes críticamente enfermos ingresados en la Unidad de Cuidados Intensivos Pediátricos del Hospital de Niños Dr. Roberto Gilbert Elizalde en el periodo junio - diciembre de 2016.

Abstract

Background: In recent years, the cannulation of the subclavian vein by supraclavicular access guided by ultrasound has become an alternative approach that offers advantages in critical patients in the pediatric intensive care unit. The aim of the present study was to evaluate the efficacy and safety of this technique in critically ill patients admitted to the pediatric intensive care unit of the Dr. Roberto Gilbert Elizalde children's hospital from June to December 2016. Methods: an observational, descriptive, prospective study was conducted between June 2016 and December 2016 that included 92 children. All procedures were performed by postgraduate resident doctors. The success rates of the insertion of the catheter, the number of punctures required, the time of the procedure and the complication rates were analyzed. Results: the cannulation was successful in 100% of the cases. The success rate after the first attempt was 84.8% and only one patient required 3 attempts to success the canalization. The procedure time was fast with a mean of 40 seconds [20-90]. Among the recorded procedures, only two arterial punctures were observed that had no major implications and none presented pneumothorax. Conclusion: cannulation the subclavian vein by supraclavicular access guided by ultrasound in critically ill patients is an effective and safe technique when performed by an experienced operator.