{"id":8650,"date":"2020-06-02T10:13:36","date_gmt":"2020-06-02T08:13:36","guid":{"rendered":"http:\/\/campusvygon.com\/cl\/?p=8650"},"modified":"2021-07-18T11:25:54","modified_gmt":"2021-07-18T09:25:54","slug":"sedacion-para-la-colocacion-de-una-linea-media-en-pediatria","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/cl\/sedacion-para-la-colocacion-de-una-linea-media-en-pediatria\/","title":{"rendered":"Sedaci\u00f3n para la colocaci\u00f3n de una l\u00ednea media en pediatr\u00eda"},"content":{"rendered":"<p><span data-contrast=\"auto\">Como relevo al cat\u00e9ter corto, la <\/span><b><span data-contrast=\"auto\"><a href=\"http:\/\/campusvygon.com\/cl\/cateteres-linea-media-pediatria\/\">l\u00ednea media<\/a> para terapia <\/span><\/b><b><span data-contrast=\"auto\">de<\/span><\/b><b><span data-contrast=\"auto\"> m\u00e1s<\/span><\/b><b><span data-contrast=\"auto\"> de 3<\/span><\/b><b><span data-contrast=\"auto\"> d\u00edas<\/span><\/b><span data-contrast=\"auto\"> es un recurso fundamental que <\/span><b><span data-contrast=\"auto\">evita los pinchazos m\u00faltiples y preserva el capital venoso<\/span><\/b><span data-contrast=\"auto\"> de los ni\u00f1os.\u00a0\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Sin embargo, seg\u00fan el nivel de colaboraci\u00f3n del ni\u00f1o es preciso tener <\/span><b><span data-contrast=\"auto\">protocolos adecuados de preparaci\u00f3n y sedaci\u00f3n<\/span><\/b><span data-contrast=\"auto\"> para la colocaci\u00f3n de este tipo de cat\u00e9teres que requieren una t\u00e9cnica distinta a la de <\/span><span data-contrast=\"auto\">los cat\u00e9teres cortos perif\u00e9ricos.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:257}\">\u00a0<\/span><\/p>\n<p><a href=\"http:\/\/campusvygon.com\/cl\/accesos-vasculares-media-larga-duracion\/\"> <picture><source srcset=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/banner-LP1.jpg\" media=\"(min-width: 650px)\" \/><img decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/banner-LP-mobile.jpg\" \/> <\/picture> <\/a><\/p>\n<h3><b><span data-contrast=\"auto\">Dificultades para canalizar<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h3>\n<h5><span data-contrast=\"auto\">Colaboraci\u00f3n del paciente en funci\u00f3n de la edad<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">La pediatr\u00eda <\/span><span data-contrast=\"auto\">requiere grandes habilidades de adaptaci\u00f3n <\/span><span data-contrast=\"auto\">ya que,<\/span><span data-contrast=\"auto\"> seg\u00fan el rango de edad, la respuesta de los paciente<\/span><span data-contrast=\"auto\">s a un <\/span><span data-contrast=\"auto\">est\u00edmulo<\/span><span data-contrast=\"auto\"> doloroso y su capacidad <\/span><span data-contrast=\"auto\">en <\/span><span data-contrast=\"auto\">gestionar una situaci\u00f3n de estr\u00e9s<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> son bastan<\/span><span data-contrast=\"auto\">te diferentes.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-8568 aligncenter\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/05\/Infograf\u00eda-respuesta-al-dolor-seg\u00fan-edad-180x300.jpg\" alt=\"Respuesta al dolor seg\u00fan el nivel madurativo\" width=\"398\" height=\"663\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/05\/Infograf\u00eda-respuesta-al-dolor-seg\u00fan-edad-180x300.jpg 180w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/05\/Infograf\u00eda-respuesta-al-dolor-seg\u00fan-edad-201x335.jpg 201w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/05\/Infograf\u00eda-respuesta-al-dolor-seg\u00fan-edad.jpg 340w\" sizes=\"(max-width: 398px) 100vw, 398px\" \/><\/p>\n<h5><span data-contrast=\"auto\">Paciente DIVA<\/span><span data-contrast=\"auto\"> (<\/span><span data-contrast=\"auto\">Difficult<\/span> <span data-contrast=\"auto\">Insertion<\/span> <span data-contrast=\"auto\">of<\/span><span data-contrast=\"auto\"> Vascular Access)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">La canalizaci\u00f3n de una v\u00eda en el paciente pedi\u00e1trico en la mayor\u00eda de los <\/span><span data-contrast=\"auto\">casos<\/span> <span data-contrast=\"auto\">es <\/span><span data-contrast=\"auto\">muy retadora. Much<\/span><span data-contrast=\"auto\">os de los ni\u00f1os que tiene que <\/span><span data-contrast=\"auto\">lleva<\/span><span data-contrast=\"auto\">r un cat\u00e9ter se pueden considerar <\/span><b><span data-contrast=\"auto\">pacientes DIVA<\/span><\/b><span data-contrast=\"auto\">; <\/span><span data-contrast=\"auto\">seg\u00fan <\/span><span data-contrast=\"auto\">la definici\u00f3n de diferentes estudios<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> un paciente <\/span><span data-contrast=\"auto\">se determina como <\/span><span data-contrast=\"auto\">DIVA <\/span><span data-contrast=\"auto\">cuando <\/span><span data-contrast=\"auto\">hay <\/span><span data-contrast=\"auto\">una o varias de las circunstancias siguientes<\/span><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"14\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"2\"><b><span data-contrast=\"auto\">Dos <\/span><\/b><b><span data-contrast=\"auto\">intentos fallidos o m\u00e1s<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"14\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"2\"><b><span data-contrast=\"auto\">V<\/span><\/b><b><span data-contrast=\"auto\">enas no palpables o no visibles con torniquete puesto<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"o\" data-font=\"Courier New\" data-listid=\"14\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"2\"><b><span data-contrast=\"auto\">Tiempo de inserci\u00f3n superior a lo normal<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<h5>Otros factores<\/h5>\n<p><span data-contrast=\"auto\">Otros factores de riesgo relacionados con el grado de dificultad en pediatr\u00eda son: <strong>la edad temprana<\/strong>, especialmente menores de un a\u00f1o, el <strong>bajo peso o<\/strong> el <strong>sobrepeso<\/strong> y la <strong>ubicaci\u00f3n anat\u00f3mica de la vena<\/strong> a canalizar<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Adem\u00e1s,<\/span> <span data-contrast=\"auto\">se puede decir q<\/span><span data-contrast=\"auto\">ue la pediatr\u00eda es la \u00fanica especialidad en la <\/span><span data-contrast=\"auto\">que<\/span><span data-contrast=\"auto\"> existe un factor externo que <\/span><span data-contrast=\"auto\">forma parte <\/span><span data-contrast=\"auto\">del <\/span><span data-contrast=\"auto\">cuidado y <\/span><span data-contrast=\"auto\">tratamiento<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> y <\/span><span data-contrast=\"auto\">al <\/span><span data-contrast=\"auto\">que <\/span><span data-contrast=\"auto\">siempre <\/span><span data-contrast=\"auto\">se <\/span><span data-contrast=\"auto\">debe<\/span><span data-contrast=\"auto\"> tener en <\/span><span data-contrast=\"auto\">cuenta:<\/span> <b><span data-contrast=\"auto\">los padres.<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Es de vital importancia <\/span><span data-contrast=\"auto\">dar<\/span> <span data-contrast=\"auto\">informaci\u00f3n a<\/span><span data-contrast=\"auto\"> los <\/span><span data-contrast=\"auto\">padres<\/span> <span data-contrast=\"auto\">e incluirlos <\/span><span data-contrast=\"auto\">en los cuidados<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> ya que<\/span><span data-contrast=\"auto\"> su preparaci\u00f3n<\/span><span data-contrast=\"auto\"> ser\u00e1 beneficiosa y <\/span><span data-contrast=\"auto\">potenciar\u00e1 la<\/span><span data-contrast=\"auto\"> colaboraci\u00f3n del ni\u00f1o<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">La l\u00ednea media<\/span><\/b><b><span data-contrast=\"auto\">: definici\u00f3n y tipo de sedaci\u00f3n<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Por los<\/span> <span data-contrast=\"auto\">factores <\/span><span data-contrast=\"auto\">ya <\/span><span data-contrast=\"auto\">mencionados, es <\/span><span data-contrast=\"auto\">importante<\/span><span data-contrast=\"auto\"> establecer un <\/span><b><span data-contrast=\"auto\">protocolo<\/span><\/b><b><span data-contrast=\"auto\"> adecuado de sedaci\u00f3<\/span><\/b><b><span data-contrast=\"auto\">n<\/span><\/b><span data-contrast=\"auto\"> para la colocaci\u00f3n de una l\u00ednea media en ni\u00f1os.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5><span data-contrast=\"auto\">\u00bfQu\u00e9 es la l\u00ednea media?<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">Es un <\/span><span data-contrast=\"auto\">cat\u00e9ter <\/span><span data-contrast=\"auto\">cuya<\/span><span data-contrast=\"auto\"> longitud est\u00e1 entre 4 y 20cm, <\/span><span data-contrast=\"auto\">que dura <\/span><b><span data-contrast=\"auto\">hasta 3-4 semanas<\/span><\/b><span data-contrast=\"auto\">, <\/span><span data-contrast=\"auto\">insertado en venas <\/span><b><span data-contrast=\"auto\">profundas del brazo <\/span><\/b><span data-contrast=\"auto\">(<\/span><span data-contrast=\"auto\">bas\u00edlica<\/span><span data-contrast=\"auto\">, braquial o <\/span><span data-contrast=\"auto\">cef\u00e1lica<\/span><span data-contrast=\"auto\">)<\/span><span data-contrast=\"auto\"> y<\/span><span data-contrast=\"auto\"> cuya <\/span><b><span data-contrast=\"auto\">punta se ubica en el tra<\/span><\/b><b><span data-contrast=\"auto\">mo <\/span><\/b><b><span data-contrast=\"auto\">axilo<\/span><\/b><b><span data-contrast=\"auto\">-subclavio<\/span><\/b><span data-contrast=\"auto\">. Tambi\u00e9n se puede canalizar <\/span><span data-contrast=\"auto\">en venas <\/span><span data-contrast=\"auto\">palpables<\/span><span data-contrast=\"auto\"> y\/o visibles del <\/span><span data-contrast=\"auto\">antebrazo<\/span><span data-contrast=\"auto\"> pero supone m\u00e1s complicaciones (peque\u00f1<\/span><span data-contrast=\"auto\">o calibre de las venas, flexura, <\/span><span data-contrast=\"auto\">etc<\/span><span data-contrast=\"auto\">).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Su objetivo es poder disponer de <\/span><b><span data-contrast=\"auto\">una v\u00eda \u00fanica durante todo el tratamiento del ni\u00f1o<\/span><\/b><span data-contrast=\"auto\">, sin tener que volver a canalizar otra y as\u00ed <\/span><b><span data-contrast=\"auto\">evitar la repetici\u00f3n de los pinchazos<\/span><\/b><span data-contrast=\"auto\">. <\/span><b><span data-contrast=\"auto\">L<\/span><\/b><b><span data-contrast=\"auto\">a<\/span><\/b><b><span data-contrast=\"auto\"> prevenci\u00f3n del agotamien<\/span><\/b><b><span data-contrast=\"auto\">t<\/span><\/b><b><span data-contrast=\"auto\">o vascular tiene <\/span><\/b><b><span data-contrast=\"auto\">que ser un objetivo <\/span><\/b><b><span data-contrast=\"auto\">com\u00fan<\/span><\/b><b><span data-contrast=\"auto\"> en enfermer\u00eda no solo pedi\u00e1trica<\/span><\/b><b><span data-contrast=\"auto\">,<\/span><\/b><b><span data-contrast=\"auto\"> ya que las venas muy castigadas <\/span><\/b><b><span data-contrast=\"auto\">pueden no recuperarse o muy <\/span><\/b><b><span data-contrast=\"auto\">dif\u00edcilmente<\/span><\/b><b><span data-contrast=\"auto\">.<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5>Herramientas tecnol\u00f3gicas para la colocaci\u00f3n de midlines<\/h5>\n<p><span data-contrast=\"auto\">Existen d<\/span><span data-contrast=\"auto\">istintas herramientas tecnol\u00f3gicas como la luz infrarroja<\/span> <span data-contrast=\"auto\">y l\u00e1mparas de iluminaci\u00f3n que permiten visualizar las venas perif\u00e9ricas en los ni\u00f1os<\/span><span data-contrast=\"auto\">.\u00a0<\/span> <span data-contrast=\"auto\">Sin <\/span><span data-contrast=\"auto\">embargo,<\/span><span data-contrast=\"auto\"> para la colocaci\u00f3n de l\u00edneas medias<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> la herramienta m\u00e1s adecuada (evidencia <\/span><span data-contrast=\"auto\">cient\u00edfica<\/span><span data-contrast=\"auto\">) es la <\/span><b><span data-contrast=\"auto\">ecograf\u00eda<\/span><\/b><span data-contrast=\"auto\">: se puede ver la punci\u00f3n <\/span><span data-contrast=\"auto\">\u201cpor dentro\u201d y previamente se puede medir la vena, dato muy importante para asegurarse<\/span><span data-contrast=\"auto\"> de<\/span><span data-contrast=\"auto\"> la correcta elecci\u00f3n del <\/span><b><span data-contrast=\"auto\">D<\/span><\/b><span data-contrast=\"auto\">ispositivo de <\/span><b><span data-contrast=\"auto\">A<\/span><\/b><span data-contrast=\"auto\">cceso <\/span><b><span data-contrast=\"auto\">V<\/span><\/b><span data-contrast=\"auto\">ascular<\/span><span data-contrast=\"auto\"> (el cat\u00e9ter tiene que ocupar solo 1\/3 de la luz de la vena).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h5><span data-contrast=\"auto\">Protocolo de sedaci\u00f3n con la l\u00ednea media<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h5>\n<p><span data-contrast=\"auto\">La principal herramienta de la que d<\/span><span data-contrast=\"auto\">isponen los profesionales para llevar a cabo este procedimiento<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> evitando el sufrimiento de los <\/span><span data-contrast=\"auto\">peque\u00f1os, es el <\/span><b><span data-contrast=\"auto\">\u00f3xido nitroso<\/span><\/b><span data-contrast=\"auto\">, <\/span><span data-contrast=\"auto\">un gas incoloro que administrado en una concentraci\u00f3n apropiada con <\/span><span data-contrast=\"auto\">ox\u00edgeno logra<\/span><span data-contrast=\"auto\"> una adecuada analgesia y sedaci\u00f3n<\/span><span data-contrast=\"auto\"> segura y eficaz<\/span><span data-contrast=\"auto\">, sobre todo en ni\u00f1os mayores de 5 a\u00f1os.<\/span> <b><span data-contrast=\"auto\">El <\/span><\/b><b><span data-contrast=\"auto\">comienzo de<\/span><\/b><b><span data-contrast=\"auto\"> su<\/span><\/b><b><span data-contrast=\"auto\"> acci\u00f3n<\/span><\/b><b><span data-contrast=\"auto\"> y<\/span><\/b> <b><span data-contrast=\"auto\">el cese de la misma<\/span><\/b><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> al retirar el gas<\/span><span data-contrast=\"auto\">,<\/span> <span data-contrast=\"auto\">es muy <\/span><b><span data-contrast=\"auto\">r\u00e1pido<\/span><\/b> <span data-contrast=\"auto\">lo que le hace <\/span><b><span data-contrast=\"auto\">ideal <\/span><\/b><span data-contrast=\"auto\">como sistema de sedaci\u00f3n <\/span><span data-contrast=\"auto\">en procedimientos<\/span><span data-contrast=\"auto\"> dolorosos menores de corta duraci\u00f3n como la colocaci\u00f3n de un <\/span><span data-contrast=\"auto\">midline<\/span><span data-contrast=\"auto\"> o un PICC<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h2><b><span data-contrast=\"auto\">Testimonio del Equipo de Terapia Intravenosa <\/span><\/b><b><span data-contrast=\"auto\">del Hospital Materno Infantil de M\u00e1laga<\/span><\/b><\/h2>\n<p><span data-contrast=\"auto\">Clara Rodr\u00edguez y Pepa Gonz\u00e1lez<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> del grupo ETI de hospitalizaci\u00f3n<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> y <\/span><span data-contrast=\"auto\">Mar\u00eda \u00c1ngeles <\/span><span data-contrast=\"auto\">Garc\u00eda<\/span><span data-contrast=\"auto\"> Ortega<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> jefa de bloque<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> nos explica<\/span><span data-contrast=\"auto\">n<\/span><span data-contrast=\"auto\"> como aborda s<\/span><span data-contrast=\"auto\">u equipo<\/span><span data-contrast=\"auto\"> la gesti\u00f3n del dolor infantil<\/span><span data-contrast=\"auto\"> durante la canalizaci\u00f3n de un AV.<\/span><span data-contrast=\"auto\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8686\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga-300x167.png\" alt=\"Clara Rodr\u00edguez y Pepa Gonz\u00e1lez y Mar\u00eda \u00c1ngeles Garc\u00eda Ortega\" width=\"521\" height=\"290\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga-300x167.png 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga-768x429.png 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga-150x83.png 150w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga-335x187.png 335w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga-225x125.png 225w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/06\/Hospital-de-M\u00e1laga.png 946w\" sizes=\"(max-width: 521px) 100vw, 521px\" \/><\/span><\/p>\n<p><span data-contrast=\"auto\">Cuando <\/span><span data-contrast=\"auto\">se tiene que <\/span><span data-contrast=\"auto\">colocar un cat\u00e9ter corto <\/span><span data-contrast=\"auto\">a beb\u00e9s menores de seis meses<\/span><span data-contrast=\"auto\">,<\/span> <span data-contrast=\"auto\">se <\/span><span data-contrast=\"auto\">administra <\/span><b><span data-contrast=\"auto\">sacarosa <\/span><\/b><span data-contrast=\"auto\">unos minutos antes y durante la exploraci\u00f3n<\/span><span data-contrast=\"auto\"> y<\/span> <span data-contrast=\"auto\">durante<\/span><span data-contrast=\"auto\"> la<\/span><span data-contrast=\"auto\"> canalizaci\u00f3n del cat\u00e9ter<\/span><span data-contrast=\"auto\">. Bajo <\/span><b><span data-contrast=\"auto\">sedaci\u00f3n nerviosa<\/span><\/b><span data-contrast=\"auto\"> en <\/span><span data-contrast=\"auto\">los <\/span><span data-contrast=\"auto\">casos en que se req<\/span><span data-contrast=\"auto\">uiera y la situaci\u00f3n cl\u00ednica lo permita<\/span><span data-contrast=\"auto\"> (VV<\/span><span data-contrast=\"auto\">P ya canalizada y malos accesos ve<\/span><span data-contrast=\"auto\">noso<\/span><span data-contrast=\"auto\">s)<\/span><span data-contrast=\"auto\">.\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Para los mayores de dos a\u00f1os se emplea <\/span><b><span data-contrast=\"auto\">Emla<\/span><\/b> <span data-contrast=\"auto\">para una anestesia local t\u00f3pica<\/span><span data-contrast=\"auto\">;<\/span><span data-contrast=\"auto\"> y durante la canalizaci\u00f3n, <\/span><b><span data-contrast=\"auto\">\u00f3xido nitroso<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Para emplear el \u00f3xido nitroso es necesario que el ni\u00f1o comprenda, obedezca unas \u00f3rdenes y<\/span> <span data-contrast=\"auto\">colabore de forma activa.<\/span><span data-contrast=\"auto\"> Tras un periodo de<\/span><b><span data-contrast=\"auto\"> inducci\u00f3n de tres minutos<\/span><\/b><span data-contrast=\"auto\">, se continua la sedaci\u00f3n durante el procedimiento. El flujo <\/span><b><span data-contrast=\"auto\">depende de <\/span><\/b><b><span data-contrast=\"auto\">la ventilaci\u00f3n espont\u00e1nea<\/span><\/b><span data-contrast=\"auto\"> del paciente (entre 4 y 6 litros por minuto<\/span><span data-contrast=\"auto\">). Durante su administraci\u00f3n se lleva a cabo un <\/span><b><span data-contrast=\"auto\">control <\/span><\/b><b><span data-contrast=\"auto\">cl\u00ednico<\/span><\/b><b><span data-contrast=\"auto\"> del paciente<\/span><\/b> <span data-contrast=\"auto\">y esta se interrumpe en caso de p\u00e9rdida del contacto verbal. El periodo de inhalaci\u00f3n <\/span><b><span data-contrast=\"auto\">no supera en ning\u00fan caso los 60 min<\/span><\/b><b><span data-contrast=\"auto\">utos<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Su<\/span><span data-contrast=\"auto\"> protocolo establece que se deben <\/span><b><span data-contrast=\"auto\">tomar medidas antropom\u00e9tricas<\/span><\/b><span data-contrast=\"auto\"> e <\/span><span data-contrast=\"auto\">indicar un <\/span><b><span data-contrast=\"auto\">ayuno previo de 4 a 6 horas<\/span><\/b><b><span data-contrast=\"auto\">.<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Siempre tratan de involucrar a los padres que<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> si lo des<\/span><span data-contrast=\"auto\">e<\/span><span data-contrast=\"auto\">an<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> pueden est<\/span><span data-contrast=\"auto\">ar<\/span> <b><span data-contrast=\"auto\">presente<\/span><\/b><b><span data-contrast=\"auto\">s<\/span><\/b> <b><span data-contrast=\"auto\">durante <\/span><\/b><b><span data-contrast=\"auto\">el procedimiento<\/span><\/b><span data-contrast=\"auto\">.<\/span> <span data-contrast=\"auto\">S<\/span><span data-contrast=\"auto\">e s<\/span><span data-contrast=\"auto\">olicita su colaboraci\u00f3n para que tranquilice<\/span><span data-contrast=\"auto\">n<\/span> <span data-contrast=\"auto\">al ni\u00f1o <\/span><span data-contrast=\"auto\">mediante el a<\/span><span data-contrast=\"auto\">mamanta<\/span><span data-contrast=\"auto\">miento,<\/span><span data-contrast=\"auto\"> caricias,<\/span> <span data-contrast=\"auto\">m\u00fasica, canciones, etc<\/span><span data-contrast=\"auto\">.<\/span><\/p>\n<p><span data-contrast=\"auto\">La<\/span><span data-contrast=\"auto\"> mayor dificultad que <\/span><span data-contrast=\"auto\">encuentran<\/span><span data-contrast=\"auto\"> para sedar a un ni\u00f1o<\/span><span data-contrast=\"auto\"> es que p<\/span><span data-contrast=\"auto\">ara la canalizaci\u00f3n en pediatr\u00eda <\/span><span data-contrast=\"auto\">se requiere la presencia de <\/span><span data-contrast=\"auto\">dos enfermeras <\/span><span data-contrast=\"auto\">que <\/span><span data-contrast=\"auto\">deben estar est\u00e9riles y una<\/span> <span data-contrast=\"auto\">tercera que se haga cargo de la medicaci\u00f3n y el control de la v\u00eda a\u00e9rea cuando <\/span><span data-contrast=\"auto\">se realiza una <\/span><span data-contrast=\"auto\">sedaci\u00f3n<\/span> <span data-contrast=\"auto\">intravenosa<\/span><span data-contrast=\"auto\">. En pacientes cr\u00f3nicos y pluripatol\u00f3gicos los accesos vasculares son <\/span><span data-contrast=\"auto\">particularmente <\/span><span data-contrast=\"auto\">dif\u00edciles<\/span><span data-contrast=\"auto\"> ya que <\/span><b><span data-contrast=\"auto\">la repetici\u00f3n <\/span><\/b><b><span data-contrast=\"auto\">previa <\/span><\/b><b><span data-contrast=\"auto\">de <\/span><\/b><b><span data-contrast=\"auto\">venopunciones dificulta<\/span><\/b> <b><span data-contrast=\"auto\">la canalizaci\u00f3n y la progresi\u00f3n de las gu\u00edas y el cat\u00e9ter<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p>Puedes leer aspectos generales sobre sedaci\u00f3n y analgesia en pediatr\u00eda durante la canalizaci\u00f3n de una v\u00eda en <a href=\"http:\/\/campusvygon.com\/cl\/sedacion-en-pediatria-gestionar-el-estres-y-el-dolor-en-la-canalizacion-de-vias\/\">este post<\/a><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">[accordion title=&#8217;Bibliograf\u00eda&#8217;]<\/span><\/p>\n<p aria-level=\"1\"><span data-contrast=\"none\">\u00bfCu\u00e1l es la necesidad de colocar un acceso vascular en procedimientos anest\u00e9sicos en ni\u00f1os?<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S012033471730103X\u00a0 \u00a0 Manual de ANALGESIA Y SEDACI\u00d3N en Urgencias de Pediatr\u00eda,\u00a0 Leonardo Mart\u00edn de la Rosa et Al. Sociedad Espa\u00f1ola de Urgencias de Pediatr\u00eda, 2009\u00a0 <a href=\"https:\/\/seup.org\/pdf_public\/gt\/analg_manual.pdf\">https:\/\/seup.org\/pdf_public\/gt\/analg_manual.pdf<\/a>\u00a0 \u00a0 Hospital de Cruces \u00d3XIDO NITROSO: EFECTIVIDAD Y SEGURIDAD PARA LA REALIZACI\u00d3N DE PROCEDIMIENTOS DOLOROSOS EN URGENCIAS DE PEDIATR\u00cdA Borja G\u00f3mez Cort\u00e9s, abril 2009\u00a0 <a href=\"https:\/\/seup.org\/pdf_public\/gt\/analg_oxido.pdf\">https:\/\/seup.org\/pdf_public\/gt\/analg_oxido.pdf<\/a>\u00a0 La realidad virtual puede ayudar a reducir el dolor y la ansiedad de los ni\u00f1os ante los procedimientos m\u00e9dicos estresantes Aizpurua Galdeano MPPediatra. CS Ondarreta. San Sebasti\u00e1n. Guip\u00fazcoa. Espa\u00f1a. Febrero 2020\u00a0 Gu\u00eda de Pr\u00e1ctica Cl\u00ednica: Sedaci\u00f3n y Analgesia para Procedimientos G\u00f3mez K et Al. Diciembre 2014\u00a0 Analgesia y sedaci\u00f3n en procedimientos pedi\u00e1tricos Parte 1: Aspectos generales, escalas de sedaci\u00f3n y valoraci\u00f3n del dolor Dr. Cristian Garcia Roig et Al. 2008\u00a0[\/accordion]<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\"> [authors users=\u00bbravila,tpolo,mpineau,vgil\u00bb]<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Como relevo al cat\u00e9ter corto, la l\u00ednea media para terapia de m\u00e1s de 3 d\u00edas es un recurso fundamental que evita los pinchazos m\u00faltiples y preserva el capital venoso de los ni\u00f1os.\u00a0\u00a0\u00a0 Sin embargo, seg\u00fan el nivel de colaboraci\u00f3n del ni\u00f1o es preciso tener protocolos adecuados de preparaci\u00f3n y sedaci\u00f3n para la colocaci\u00f3n de este [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":25397,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[116],"tags":[336,174,342,331,341,143,144,340,332],"class_list":["post-8650","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-terapias-intravasculares","tag-analgesia","tag-capital-venoso","tag-diva","tag-dolor","tag-emla","tag-linea-media","tag-midline","tag-oxido-nitroso","tag-sedacion"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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