Efectividad de la ultrasonografía en la punción venosa periférica: revisión integradora

  • Mitzy Tannia Reichembach Danski
  • Andrey Maciel de Oliveira
  • Marineli Joaquim Meier
  • Edivane Pedrolo
Palabras clave: Ultrasonografía, Cateterismo periférico, Tecnología, Enfermería

Resumen

Objetivo: Identificar las evidencias producidas en la literatura sobre la efectividad de la ultrasonografía para el éxito en la punción venosa con relación al método tradicional de punción.

Método: Se realizó una revisión integradora de literatura en las bases de datos Lilacs y PubMed, en el período de enero de 2009 a febrero de 2015. Fueron incluidas publicaciones en portugués, inglés o español, que contemplaron los objetivos y/o el tema de la investigación en el título o resumen y que utilizaron revisiones sistemáticas, ensayos clínicos o estudios observacionales como metodología.

Resultados: Compuesto por 16 artículos, con alto nivel de evidencia, que refuerzan la efectividad de la ultrasonografía para la punción venosa periférica difícil. Hubo reducción del número de intentos de punción cuando se usó la ultrasonografía. La tasa de éxito con el uso de la ultrasonografía quedó entre 70% y 99% y varió de acuerdo con características demográficas (sexo, edad y color de la piel), clínicas (diámetro y profundidad de la vena) y operacionales (elección del catéter y habilidad del profesional que realiza el procedimiento).

Conclusión: La ultrasonografía puede aumentar el éxito de este procedimiento, pero es necesario obtener más evidencias sobre el tiempo gastado y el número de intentos para lograr el éxito. La habilidad del operador del equipo ultrasonográfico, así como las características clínicas, técnicas y operacionales se revelaron como factores importantes que deben ser tenidos en cuenta para una punción venosa más efectiva y segura.

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Publicado
27-09-2016
Cómo citar
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Danski M, Oliveira A, Meier M, Pedrolo E. Efectividad de la ultrasonografía en la punción venosa periférica: revisión integradora. eglobal [Internet]. 27sep.2016 [citado 22mar.2019];15(4):354-95. Available from: https://revistas.um.es/eglobal/article/view/236661
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