Percutaneous catheterization technique for perfusion in thick venous trunks
Técnica de cateterización percutánea para perfusión en gruesos troncos venosos
Resumen:
Twenty percutaneous cei:itral vein catheterizations were perforn:ied on sixteen patients during a period of two months. The technique implies the use of a lead52ing flexible metallic chuck, which permits the use of catheters of a gauge larger thant the ones which are introduced through a puncture needle. Theri;, were nocomplications but for a puncture of the carotide artery without further consequences, and a local infection in the cutaneous orífice. The method permits quick catheterizations,repeated without. diminishing the "venous capital" of the patient, and with very little material. High flows can be used, even for hypertonic solutions,without risking chemical phlebitis, and reliable control of hemodynamic parameters (C.V.P.) can be obtained.
Se practicaron 20 cateterismos venosos centrales percutáneos en 16 pacientes durante un pe.riodo de 2 meses. La técnica implica la utilizaciónde un mandril me1tálico nexible como guía, lo que permite el empleo de catéteres de mayor diámetro que los introducidos a través de la aguja de punción. No hubo complicacionessalvo la punción de una carótida sin consecuenciais ulteriores y una infección local a nivel del orificio cutáneo. El método permite cateterizacionesrápid•as, reiteradas, sin disminución del capital v,enoso de los pacientes y efectuadas con un1 mínimo de material. Se pueden utilizar flujos altos aún de soluciones hipertónicasin riesgos de flebitis químicas y obtener medidas confiables id,e parámetros bemodinámicos (P.V.C.).
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cateterización instrumentación catheterization instrumentation |
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Español | |
Sociedad de Cirugía del Uruguay | |
Revista Cirugía del Uruguay | |
https://revista.scu.org.uy/index.php/cir_urug/article/view/2720 | |
Acceso abierto |
Sumario: | Twenty percutaneous cei:itral vein catheterizations were perforn:ied on sixteen patients during a period of two months. The technique implies the use of a lead52ing flexible metallic chuck, which permits the use of catheters of a gauge larger thant the ones which are introduced through a puncture needle. Theri;, were nocomplications but for a puncture of the carotide artery without further consequences, and a local infection in the cutaneous orífice. The method permits quick catheterizations,repeated without. diminishing the "venous capital" of the patient, and with very little material. High flows can be used, even for hypertonic solutions,without risking chemical phlebitis, and reliable control of hemodynamic parameters (C.V.P.) can be obtained. |
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