Información del artículo
Resumen
Los accesos venosos centrales en neonatos y pacientes pediátricos constituyen un procedimiento común e importante tanto para el período intraoperatorio como para los cuidados posquirúrgicos. La técnica para la colocación de las vías venosas centrales guiada por ultrasonido (point-of-care) ha sido propuesta para incrementar la tasa de éxito y la eficacia, así como también para disminuir el número de complicaciones. La canulación ecoguiada de la vena yugular interna es considerada el método de referencia en pacientes pediátricos. Otra opción para realizar una canulación venosa central en neonatos y niños es el abordaje supraclavicular ecoguiado de la vena braquiocefálica usando una punción «en plano».
Este artículo proporciona una revisión sobre la evidencia actual, aspectos técnicos y un abordaje estructurado para realizar el acceso supraclavicular ecoguiado de la vena braquiocefálica en niños y neonatos.
Palabras clave:
Ultrasonido
Catéter venoso central
Vena braquiocefálica
Niños
Neonato
Abstract
Central venous accesses in neonates and pediatric patients represent a common and important procedure for both, intraoperative and postoperative care. Point-of-care ultrasound-guided technique has been proposed to increased success rate and efficiency, as well as to decrease the number of complications. Ultrasound-guided internal jugular vein cannulation is considering the “gold standard” in children. Another central venous cannulation option in neonates and children has been supraclavicular ultrasound-guided cannulation of the brachiocephalic vein using the in-plane approach.
This article gives a review of the current evidence, the basic knowledge of the technique and the structured approach to follow for supraclavicular ultrasound-guided brachiocephalic vein access in children and neonates.
Keywords:
Ultrasound
Central venous catheter
Brachiocephalic vein
Children
Neonate
Artículo
Opciones para acceder a los textos completos de la publicación Revista Española de Anestesiología y Reanimación
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