Examinando por Materia "Vena Subclavia"

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    Efficacy of internal jugular central venous catheterization compared with subclavian venous catheterization in reducing complications in emergencies
    (Universidad Privada Norbert Wiener, 2021-11-07) Tipte Mateo, Laura Ivón; Torres Chaupín, Geraldine Jennifer; Arevalo Marcos, Rodolfo Amado
    Objective: To systematize the evidence on the efficacy of internal jugular central venous catheterization compared to subclavian venous catheterization in reducing complications in emergencies. Materials and methods: The type of study was a systematic review, the population consisted of 50 articles and the sample was 10 articles, the instrument was carried out by the attached databases Scielo, Pubmed, EBSCO host, ElSevier science, Journal of Surgical Education, the GRADE system was used for the evaluation of the articles, the criteria were strength of recommendation and quality of evidence. Results: 100% of the articles correspond to the countries of China, Japan, France, South Korea, Germany, Turkey, USA and Brazil. Regarding the designs and types of studies, 30% correspond to retrospective, 30% to prospective, 20% meta-analysis, 10% randomized controlled trial and 10% controlled cases. Ten articles were analyzed, and most studies agree that internal jugular venous catheterization is more effective than subclavian catheterization, since there are fewer complications and success rates in the first placement attempt, compared to subclavian catheterization, where there is a higher incidence of infections, pneumothorax, and thrombosis. Conclusions: 70% of the studies show the effectiveness of internal jugular venous catheterization, because it is useful in anticoagulated patients; in the event of a hematoma, the neck can be compressed relatively easily; it is rare for pneumothorax or hemothorax to occur; it is a useful route in the case of patients with respiratory disorders; it was associated with reduced risks of complications, and 30% indicate that cannulation of the subclavian vein was effective, since there were no cases of thrombosis or infection in this group; and mechanical complications were not significantly different between the internal jugular vein and the subclavian vein.