[Experience in the use of central venous catheterization via subclavian puncture in a pediatric hospital].
OBJECTIVE
To assess the frequency and type of complications during central venous catheter installation by subclavian puncture, and during its use in children admitted to an ICU.


METHODS
Patients from one month to 15 years of age, admitted to the Intensive Care Unit of the Hospital de Pediatría Centro Médico Nacional, Siglo XXI, who underwent a percutaneous infraclavicular subclavian puncture for central venous catheter complications were included. Clinical features, diagnosis, complications and indications for the procedure were registered.


RESULTS
92 patients and 102 subclavian punctures were included for analysis. Effectively index was 88.3%. Main diagnosis was infectious diseases in 29.4% and neoplasia in 22.5%. Hemodynamic monitoring was the more frequent indication for the procedure (44%). Of the catheter 45% were successfully installed at first intent. The complication in the installation appear in 11.7%. Was arterial subclavian puncture (6.8%), hematoma (2.9%), without hemodynamic deterioration no any case. The mean time of permanence was 8.8 days. The late complications was present in average 7.3 days, in 18.6% of the cases. Predominance infection in entrance place of catheter.


CONCLUSIONS
Installation of venous central catheter by subclavian puncture prove a great utility in our patients, with a few complications and a high effectively. For experimental personal the central venous catheterization by subclavian puncture in pediatric patients to be importance in the first place in critical ill children.
Alvarado-Díez
M A
MA
Unidad de Terapia Intensiva, Hospital de Pediatría, Centro Médico Nacional, Siglo XXI, Instituto Mexicano del Seguro Social, México, D. F.
Márquez-Enriquez
L M
LM
Troconis-Trens
G
G
Serrano
V
V
Vásquez-Gutiérrez
E
E
Rivera-Rebolledo
J C
JC
Villegas-Silva
R
R
D000293:Adolescent; D000367:Age Factors; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008137:Longitudinal Studies; D008297:Male; D008800:Mexico / Q000453:epidemiology; D011677:Punctures / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data*; D012737:Sex Factors; D013350:Subclavian Vein
Experiencia en el uso de la cateterización venosa central por punción subclavia en un hospital pediátrico.