Cateterização percutanea da veia femural no atendimento inicial ao politraumatizado

AUTOR(ES)
DATA DE PUBLICAÇÃO

1992

RESUMO

This study was undertaken to assess the efficacy and safety of femoral venous catheterization for initial management of multiple trauma patients. During a one-year period there were 67 insertion attempts of a large-bore catheter (8Fr) into the femoral veins. Fifty-nine of them were successful. Ali immediate complication was noted. In order to provide a method for comparing this study with other ones and for determining what kind of patients were studied, the Trauma Score and the Injury Severity Score were obtained in each case. The patients who underwent a femoral vein catheterization were followed up until discharged from the hospital (mean time = 10 days). The femoral cannulation was mantained for two days (mean duration). For monitoring venous complications, besides clinical-exams, Doppler venous and B-mode ultrassonography were made. Microbiological study of the catheters were done by semi-quantitative culture. No venous complications occurred. There were one inadvertent arterial catheterization without further consequences and three positive catheter tip cultures from patients without septic manifestations. It was concluded that the femoral vein catheterization offers a suitable, safe and rapid alternative of venous access In the severely injuried patient

ASSUNTO(S)

cateterismo veia femoral trauma

ACESSO AO ARTIGO

Documentos Relacionados