{"id":9513,"date":"2020-07-01T14:21:10","date_gmt":"2020-07-01T12:21:10","guid":{"rendered":"http:\/\/campusvygon.com\/cl\/?p=9513"},"modified":"2020-09-28T09:07:11","modified_gmt":"2020-09-28T07:07:11","slug":"prevencion-de-las-complicaciones-en-picc-como-evitar-la-obstruccion%e2%80%af","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/cl\/prevencion-de-las-complicaciones-en-picc-como-evitar-la-obstruccion%e2%80%af\/","title":{"rendered":"Prevenci\u00f3n de las complicaciones en PICC: c\u00f3mo evitar la obstrucci\u00f3n\u202f\u00a0  \u00a0"},"content":{"rendered":"<p><span data-contrast=\"auto\">El mantenimiento del PICC supone tener claro los p<\/span><span data-contrast=\"auto\">rocedimientos\u00a0<\/span><span data-contrast=\"auto\">de lavado y sellados.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><span data-contrast=\"auto\">Pero<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0si a pesar de<\/span><span data-contrast=\"auto\">\u00a0aplicar de forma correcta los protocolos<\/span><span data-contrast=\"auto\">, surge la obstrucci\u00f3n del cat\u00e9ter \u00bfQu\u00e9 debemos hacer?<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;134233117&quot;:true,&quot;134233118&quot;:true,&quot;201341983&quot;:0,&quot;335559740&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">En este post, hacemos un repaso sobre las\u00a0<\/span><b><span data-contrast=\"auto\">t\u00e9cnicas de<\/span><\/b><b><span data-contrast=\"auto\">\u00a0prevenci\u00f3n y<\/span><\/b><b><span data-contrast=\"auto\">\u00a0desobstrucci\u00f3n<\/span><\/b><span data-contrast=\"auto\">\u00a0para\u202fpoder\u00a0<\/span><span data-contrast=\"auto\">mantener\u00a0<\/span><span data-contrast=\"auto\">la\u00a0<\/span><b><span data-contrast=\"auto\">permeabilidad<\/span><\/b><span data-contrast=\"auto\">\u00a0del cat\u00e9ter y asegurar su\u00a0<\/span><b><span data-contrast=\"auto\">correcto funcionamiento<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">DEFINICI\u00d3N<\/span><\/b><b><span data-contrast=\"auto\">\u00a0E<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">INCIDENCIA\u00a0<\/span><\/b><b><span data-contrast=\"auto\">DE\u00a0<\/span><\/b><b><span data-contrast=\"auto\">LA\u00a0<\/span><\/b><b><span data-contrast=\"auto\">OBSTRUCCI\u00d3N<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">El<\/span><span data-contrast=\"auto\">\u00a0PICC<\/span><span data-contrast=\"auto\">\u00a0es<\/span><span data-contrast=\"auto\">\u00a0un excelente recurso en la terapia intravenosa de media y larga duraci\u00f3n sin embargo la oclusi\u00f3n del mismo sigue siendo una de las complicaciones m\u00e1s comunes.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">La<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">oclusi\u00f3n se puede\u00a0<\/span><span data-contrast=\"auto\">definir como<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">una\u00a0<\/span><b><span data-contrast=\"auto\">parcial o permanente<\/span><\/b><b><span data-contrast=\"auto\">\u00a0incapacidad de obtener<\/span><\/b><b><span data-contrast=\"auto\">\u00a0reflujo\u00a0<\/span><\/b><b><span data-contrast=\"auto\">sangu\u00edneo o<\/span><\/b><b><span data-contrast=\"auto\">\u00a0de infundir<\/span><\/b><span data-contrast=\"auto\">\u00a0su<\/span><span data-contrast=\"auto\">stancias<\/span><span data-contrast=\"auto\">\u00a0a trav\u00e9s de<\/span><span data-contrast=\"auto\">\u00a0la luz\u00a0<\/span><span data-contrast=\"auto\">del acceso vascular<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">La obstrucci\u00f3n<\/span><span data-contrast=\"auto\">\u00a0puede tener graves consecuencias para el paciente<\/span><span data-contrast=\"auto\">: el cat\u00e9ter puede convertirse en un dispositivo\u00a0<\/span><b><span data-contrast=\"auto\">inutiliza<\/span><\/b><b><span data-contrast=\"auto\">ble<\/span><\/b><span data-contrast=\"auto\">,\u00a0<\/span><b><span data-contrast=\"auto\">retrasando<\/span><\/b><span data-contrast=\"auto\">\u00a0su tratamiento\u00a0<\/span><span data-contrast=\"auto\">y\u00a0<\/span><span data-contrast=\"auto\">en el peor caso,\u00a0<\/span><span data-contrast=\"auto\">haciendo necesaria su\u00a0<\/span><b><span data-contrast=\"auto\">retirada<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">y\/<\/span><span data-contrast=\"auto\">o\u00a0<\/span><b><span data-contrast=\"auto\">recambio<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Seg\u00fan el estudio de Smith,\u00a0<\/span><span data-contrast=\"auto\">Moureau<\/span><span data-contrast=\"auto\"> y Chopra <\/span><i><span data-contrast=\"auto\">\u201c<\/span><\/i><i><span data-contrast=\"auto\">Patterns<\/span><\/i><i><span data-contrast=\"auto\">\u00a0and\u00a0<\/span><\/i><i><span data-contrast=\"auto\">predictors<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">of<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">peripherally<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">inserted<\/span><\/i><i><span data-contrast=\"auto\">\u00a0central\u00a0<\/span><\/i><i><span data-contrast=\"auto\">catheter<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">occlusion<\/span><\/i><i><span data-contrast=\"auto\">:\u00a0<\/span><\/i><i><span data-contrast=\"auto\">the<\/span><\/i><i><span data-contrast=\"auto\">\u00a03P-O\u00a0<\/span><\/i><i><span data-contrast=\"auto\">study<\/span><\/i><i><span data-contrast=\"auto\">\u201d\u00a0<\/span><\/i><span data-contrast=\"auto\">que involucr\u00f3 a m\u00e1s de 13.000 pacientes, la\u00a0<\/span><b><span data-contrast=\"auto\">tasa de oclusi\u00f3n de los\u00a0<\/span><\/b><b><span data-contrast=\"auto\">PICCs<\/span><\/b><b><span data-contrast=\"auto\">\u00a0es de 12%.<\/span><\/b><span data-contrast=\"auto\">\u00a0En este trabajo comentan\u00a0<\/span><span data-contrast=\"auto\">entre otros<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> tres <\/span><span data-contrast=\"auto\">datos interesantes:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Los\u00a0<\/span><span data-contrast=\"auto\">PICCs<\/span><span data-contrast=\"auto\">\u00a0colocados en el\u00a0<\/span><b><span data-contrast=\"auto\">brazo\u00a0<\/span><\/b><b><span data-contrast=\"auto\">derecho<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">tienen menos incidencia de obstrucci\u00f3n<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">La\u00a0<\/span><b><span data-contrast=\"auto\">comprobaci\u00f3n de la posici\u00f3n de la punta<\/span><\/b><span data-contrast=\"auto\">\u00a0(comparando con los cat\u00e9teres cuya posici\u00f3n\u00a0<\/span><span data-contrast=\"auto\">no<\/span><span data-contrast=\"auto\">\u00a0fue establecida o documentada de manera clara) permite reducir la tasa de oclusi\u00f3n<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"http:\/\/campusvygon.com\/cl\/picc-monolumen-o-bilumen\/\"><span data-contrast=\"auto\">Los cat\u00e9teres<\/span><strong> multilumen<\/strong><\/a><span data-contrast=\"auto\">\u00a0tiene<\/span><span data-contrast=\"auto\">n<\/span><span data-contrast=\"auto\"> m\u00e1s episodios de obstrucci\u00f3n<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-6095 aligncenter\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2019\/06\/Cat\u00e9ter-bilumen2.jpg\" alt=\"Cat\u00e9ter PICC de dos luces\" width=\"392\" height=\"409\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2019\/06\/Cat\u00e9ter-bilumen2.jpg 2876w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2019\/06\/Cat\u00e9ter-bilumen2-288x300.jpg 288w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2019\/06\/Cat\u00e9ter-bilumen2-768x801.jpg 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2019\/06\/Cat\u00e9ter-bilumen2-982x1024.jpg 982w\" sizes=\"(max-width: 392px) 100vw, 392px\" \/><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><span data-contrast=\"auto\">Es importante recordar que la oclusi\u00f3n est\u00e1 directamente relacionada con la t\u00e9cnica de inserci\u00f3n y ubicaci\u00f3n del cat\u00e9ter, as\u00ed como su mantenimiento.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><span data-contrast=\"auto\">En el documento\u00a0<\/span><i><span data-contrast=\"auto\">The<\/span><\/i><i><span data-contrast=\"auto\">\u00a0C.L.O.T. Tool\u00a0<\/span><\/i><i><span data-contrast=\"auto\">for<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">Identifying<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">Strategies<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">to<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">Prevent<\/span><\/i><i><span data-contrast=\"auto\">\u00a0PICC\u00a0<\/span><\/i><i><span data-contrast=\"auto\">Catheter<\/span><\/i><i><span data-contrast=\"auto\">\u00a0<\/span><\/i><i><span data-contrast=\"auto\">Occlusion<\/span><\/i><i><span data-contrast=\"auto\">,\u00a0<\/span><\/i><span data-contrast=\"auto\">l<\/span><span data-contrast=\"auto\">a red de<\/span><span data-contrast=\"auto\">\u00a0hospital<\/span><span data-contrast=\"auto\">es<\/span><span data-contrast=\"auto\">\u00a0de<\/span><span data-contrast=\"auto\">l estado de<\/span><span data-contrast=\"auto\">\u00a0Michigan indica que<\/span><span data-contrast=\"auto\">\u00a0el tratamiento de las oclusiones conlleva un\u00a0<\/span><b><span data-contrast=\"auto\">gasto<\/span><\/b><b><span data-contrast=\"auto\">\u00a0anual<\/span><\/b><b><span data-contrast=\"auto\">\u00a0de 249.500$<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">y\u00a0<\/span><span data-contrast=\"auto\">del 12% de\u00a0<\/span><span data-contrast=\"auto\">PICCs<\/span><span data-contrast=\"auto\">\u00a0ocluidos<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">el\u00a0<\/span><span data-contrast=\"auto\">21% acabar\u00e1\u00a0<\/span><b><span data-contrast=\"auto\">retir\u00e1ndose<\/span><\/b><span data-contrast=\"auto\">\u00a0por no poder revertir la obstrucci\u00f3n<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><b><span data-contrast=\"auto\">TIPOS<\/span><\/b><b><span data-contrast=\"auto\">\u00a0Y CAUSAS<\/span><\/b><b><span data-contrast=\"auto\">\u00a0DE LA OBSTRUCCI\u00d3N<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Se distinguen dos tipos de oclusiones:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Oclusi\u00f3n p<\/span><\/b><b><span data-contrast=\"auto\">arcial<\/span><\/b><span data-contrast=\"auto\">: se puede\u00a0infundir\u00a0aunque con dificultad y el reflujo es m\u00ednimo\u00a0<\/span><span data-contrast=\"auto\">o nulo.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Oclusi\u00f3n\u00a0<\/span><\/b><b><span data-contrast=\"auto\">t<\/span><\/b><b><span data-contrast=\"auto\">otal<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">imposibilidad<\/span><span data-contrast=\"auto\">\u00a0tanto para infundir c<\/span><span data-contrast=\"auto\">o<\/span><span data-contrast=\"auto\">mo<\/span><span data-contrast=\"auto\">\u00a0para<\/span><span data-contrast=\"auto\">\u00a0aspirar<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><span data-contrast=\"auto\">Seg\u00fan el manual\u00a0<\/span><span data-contrast=\"auto\">GAVeCeLT<\/span><span data-contrast=\"auto\">\u00a0sobre PICC y\u00a0Midline, l<\/span><span data-contrast=\"auto\">as causas de las obstrucciones de los cat\u00e9teres<\/span><span data-contrast=\"auto\">\u00a0PICC<\/span><span data-contrast=\"auto\">\u00a0pueden ser:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Co\u00e1gulos<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">que puedan quedar\u00a0<\/span><span data-contrast=\"auto\">tras<\/span><span data-contrast=\"auto\">\u00a0extracciones<\/span><span data-contrast=\"auto\">\u00a0o infusiones de sangre<\/span><span data-contrast=\"auto\">\u00a0o hemoderivados<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Trombo<\/span><\/b><span data-contrast=\"auto\">:<\/span><span data-contrast=\"auto\">\u00a0su formaci\u00f3n se debe a una colocaci\u00f3n invasiva y\/o a una punta no colocada en el 1\/3 inferior de la VCS<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Vaina fibrobl\u00e1stica<\/span><\/b><span data-contrast=\"auto\">: envuelve el cat\u00e9ter en su punta y permite\u00a0infundir\u00a0pero no\u00a0<\/span><span data-contrast=\"auto\">extraer (se habla de PWO:\u00a0<\/span><b><span data-contrast=\"auto\">P<\/span><\/b><span data-contrast=\"auto\">ersistent<\/span><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">W<\/span><\/b><span data-contrast=\"auto\">ithdrawal<\/span><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">O<\/span><\/b><span data-contrast=\"auto\">cclusion<\/span><span data-contrast=\"auto\">\u00a0=\u00a0<\/span><span data-contrast=\"auto\">o<\/span><span data-contrast=\"auto\">clusi\u00f3n permanente a la retirada)<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Agregados\u00a0<\/span><\/b><b><span data-contrast=\"auto\">lip\u00eddicos<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">cuando se administra\u00a0<\/span><span data-contrast=\"auto\">nutrici\u00f3n parenteral\u00a0<\/span><span data-contrast=\"auto\">con l\u00edpidos<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Precipitados de\u00a0<\/span><\/b><b><span data-contrast=\"auto\">f\u00e1rmacos<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">puede ocurrir despu\u00e9s de una infus<\/span><span data-contrast=\"auto\">i<\/span><span data-contrast=\"auto\">\u00f3n<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">simult\u00e1nea<\/span><span data-contrast=\"auto\">\u00a0o con poca diferencia<\/span><span data-contrast=\"auto\">\u00a0de tiempo<\/span><span data-contrast=\"auto\">\u00a0de<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">f\u00e1rmacos incompatibles entre s\u00ed<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Medio de contraste<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">despu\u00e9s de pruebas de<\/span><span data-contrast=\"auto\">\u00a0tac o resonancias magn\u00e9ticas\u00a0<\/span><span data-contrast=\"auto\">con medios de contraste muy viscosos<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Aunque suceda de forma escasa, se puede a\u00f1adir como posible causa el<\/span><b><span data-contrast=\"auto\">\u00a0<a href=\"\/complicaciones-reservorios-pinch-off\/\">s<\/a><\/span><\/b><b><span data-contrast=\"auto\">\u00edndrome de\u00a0<\/span><\/b><b><span data-contrast=\"auto\">pinch<\/span><\/b><b><span data-contrast=\"auto\">-off<\/span><\/b><span data-contrast=\"auto\">:<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">pinzamiento<\/span><span data-contrast=\"auto\">\u00a0del cat\u00e9ter<\/span><span data-contrast=\"auto\">\u00a0entre<\/span><span data-contrast=\"auto\">\u00a0la\u00a0<\/span><span data-contrast=\"auto\">clav\u00edcula<\/span><span data-contrast=\"auto\">\u00a0y la primera costilla provocados por movimientos del hombro<\/span><span data-contrast=\"auto\">\u00a0(poco frecuente)<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">C\u00d3MO\u00a0<\/span><\/b><b><span data-contrast=\"auto\">PREVEN<\/span><\/b><b><span data-contrast=\"auto\">IR LA OBSTRUCCI\u00d3N<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">La clave para prevenir las obstrucciones es\u00a0<\/span><span data-contrast=\"auto\">el\u00a0<\/span><b><span data-contrast=\"auto\">correcto lavado<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">\u00a0Es necesari<\/span><span data-contrast=\"auto\">o<\/span><span data-contrast=\"auto\">\u00a0aplicar una t\u00e9cnica correcta\u00a0<\/span><span data-contrast=\"auto\">con<\/span><span data-contrast=\"auto\">\u00a0una frecuencia\u00a0<\/span><span data-contrast=\"auto\">acorde<\/span><span data-contrast=\"auto\">\u00a0a este tipo de\u00a0<\/span><b><span data-contrast=\"auto\">D<\/span><\/b><span data-contrast=\"auto\">ispositivos de\u00a0<\/span><b><span data-contrast=\"auto\">A<\/span><\/b><span data-contrast=\"auto\">cceso\u00a0<\/span><b><span data-contrast=\"auto\">V<\/span><\/b><span data-contrast=\"auto\">ascular (DAV).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Seguir un protocolo adecuado significa:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">1- <\/span><span data-contrast=\"auto\">Lavar de manera pulsada<\/span><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">PUSH\/PAUSE<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">con 10 ml de suero\u00a0<\/span><\/b><b><span data-contrast=\"auto\">fisiol\u00f3gico<\/span><\/b><span data-contrast=\"auto\">\u00a0antes y despu\u00e9s de cada administraci\u00f3n.<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">Lavar\u00a0<\/span><b><span data-contrast=\"auto\">con 20 ml<\/span><\/b><span data-contrast=\"auto\">\u00a0si\u00a0<\/span><span data-contrast=\"auto\">son\u00a0<\/span><b><span data-contrast=\"auto\">hemoderivados<\/span><\/b><b><span data-contrast=\"auto\">, administraci\u00f3n de\u00a0<\/span><\/b><b><span data-contrast=\"auto\">l\u00edpidos, extracciones de sangre<\/span><\/b><b><span data-contrast=\"auto\">\u00a0o\u00a0<\/span><\/b><b><span data-contrast=\"auto\">administraci\u00f3n de medios de contraste<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:708,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p>2-<b><span data-contrast=\"auto\"> Sellar<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">solo con su<\/span><\/b><b><span data-contrast=\"auto\">ero fisiol\u00f3gico<\/span><\/b><b><span data-contrast=\"auto\">, las recomendaciones internacionales son claras al respecto: <\/span><\/b><span data-contrast=\"auto\">el uso de la Heparina se tiene que abandonar ya que<\/span><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">los efectos adversos que supone son un problema\u00a0<\/span><span data-contrast=\"auto\">recurrente\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">se ha demostrado\u00a0que\u00a0con un uso adecuado del suero salino, la permeabilidad del cat\u00e9ter se mantiene igual que con est\u00e9\u00a0<\/span><span data-contrast=\"auto\">anticoagulante<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">\u00a03- <\/span><b><span data-contrast=\"auto\">Evitar<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">el reflujo\u00a0<\/span><\/b><b><span data-contrast=\"auto\">de sangre<\/span><\/b><span data-contrast=\"auto\">\u00a0en el\u00a0<\/span><span data-contrast=\"auto\">cat\u00e9ter en el momento de la desconexi<\/span><span data-contrast=\"auto\">\u00f3n<\/span><span data-contrast=\"auto\">\u00a0de la jeringa<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">usando\u00a0<\/span><span data-contrast=\"auto\">un\u00a0<\/span><b><span data-contrast=\"auto\">conector<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">con desplazamiento\u00a0<\/span><\/b><b><span data-contrast=\"auto\">neutr<\/span><\/b><b><span data-contrast=\"auto\">o<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">4- Es importante tambi\u00e9n<\/span><span data-contrast=\"auto\">, usar<\/span><span data-contrast=\"auto\">\u00a0el\u00a0<\/span><b><span data-contrast=\"auto\">menor n<\/span><\/b><b><span data-contrast=\"auto\">\u00famero<\/span><\/b><b><span data-contrast=\"auto\">\u00a0de luces posibles<\/span><\/b><span data-contrast=\"auto\">, una\u00a0<\/span><b><span data-contrast=\"auto\">correcta\u00a0<\/span><\/b><b><span data-contrast=\"auto\">posici\u00f3n de la punta<\/span><\/b><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">un\u00a0<\/span><b><span data-contrast=\"auto\">adecuado\u00a0<\/span><\/b><b><span data-contrast=\"auto\">punto de sali<\/span><\/b><b><span data-contrast=\"auto\">da<\/span><\/b><b><span data-contrast=\"auto\">\u00a0del cat<\/span><\/b><b><span data-contrast=\"auto\">\u00e9ter<\/span><\/b><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">el uso<\/span><span data-contrast=\"auto\">\u00a0de\u00a0<\/span><b><span data-contrast=\"auto\">ecograf\u00eda<\/span><\/b><span data-contrast=\"auto\">\u00a0y<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">de\u00a0<\/span><b><span data-contrast=\"auto\">bombas<\/span><\/b><span data-contrast=\"auto\"> siempre que sea posible<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:720,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">5- <\/span><span data-contrast=\"auto\">El\u00a0<\/span><b><span data-contrast=\"auto\">lavado<\/span><\/b><span data-contrast=\"auto\">\u00a0se tiene que hacer\u00a0<\/span><b><span data-contrast=\"auto\">antes y despu\u00e9s de u<\/span><\/b><b><span data-contrast=\"auto\">tilizar<\/span><\/b><span data-contrast=\"auto\">\u00a0el cat\u00e9ter y el\u00a0<\/span><b><span data-contrast=\"auto\">sellado despu\u00e9s<\/span><\/b><span data-contrast=\"auto\">\u00a0de cada uso. Cuando el DAV est\u00e1\u00a0<\/span><b><span data-contrast=\"auto\">sin usar,<\/span><\/b><span data-contrast=\"auto\"> la frecuencia de lavado + sellado es igual a la de las curas:\u00a0<\/span><b><span data-contrast=\"auto\">cada 7 d\u00edas<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">C\u00d3MO RESOLVER LA OBSTRUCCI\u00d3N<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/h3>\n<p><span data-contrast=\"auto\">Cu<\/span><span data-contrast=\"auto\">ando existe un caso de obstrucci\u00f3n es importante hacer una valoraci\u00f3n <\/span><b><span data-contrast=\"auto\">ecogr\u00e1fica<\/span><\/b><span data-contrast=\"auto\">\u00a0y pedir confirmaci\u00f3n a un\u00a0<\/span><span data-contrast=\"auto\">radi\u00f3logo<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">si fuese necesario, <\/span><span data-contrast=\"auto\">para poder ver el alcance de la\u00a0<\/span><span data-contrast=\"auto\">misma<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">(posible trombo).<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Frente a la oclusi\u00f3n del PICC<\/span><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">las<\/span><b><span data-contrast=\"auto\">\u00a0t\u00e9cnicas de desobstrucci\u00f3n<\/span><\/b><span data-contrast=\"auto\">\u00a0son la siguiente<\/span><span data-contrast=\"auto\">s<\/span><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">En caso de<\/span><span data-contrast=\"auto\">\u00a0<strong>obstrucci\u00f3n\u00a0<\/strong><\/span><strong>parcial:<\/strong><span data-contrast=\"auto\">\u00a0<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:426,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Utilizaremos\u00a0<\/span><span data-contrast=\"auto\">siempre\u00a0<\/span><b><span data-contrast=\"auto\">una jeringa de 10 ml<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">en cat\u00e9teres <\/span><span data-contrast=\"auto\">ya que permite no generar presiones altas (las &lt;10ml son las que podr\u00edan provocar la rotura del cat\u00e9ter)<\/span><span data-contrast=\"auto\">. En el caso de cat\u00e9teres\u00a0<\/span><b><span data-contrast=\"auto\">de alto flujo\u00a0<\/span><\/b><span data-contrast=\"auto\">como subraya\u00a0<\/span><span data-contrast=\"auto\">GAVeCeLT<\/span><span data-contrast=\"auto\">, se podr\u00eda llegar a usar\u00a0<\/span><span data-contrast=\"auto\">jeringas\u00a0<\/span><span data-contrast=\"auto\">m\u00e1s peque\u00f1as (de 5 o 2ml) ya que superar 325psi (22<\/span><span data-contrast=\"auto\">,4<\/span><span data-contrast=\"auto\">\u00a0bares) con una inyecci\u00f3n a trav\u00e9s de una jeringa es algo imposible<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:426,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">La maniobra consistir\u00e1\u00a0<\/span><span data-contrast=\"auto\">en\u00a0<\/span><span data-contrast=\"auto\">la\u00a0<\/span><b><span data-contrast=\"auto\">administraci\u00f3n repetida de<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">pocos mil\u00edmetros de<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">suero\u00a0<\/span><\/b><b><span data-contrast=\"auto\">fisiol\u00f3gico\u00a0<\/span><\/b><b><span data-contrast=\"auto\">a presi\u00f3n<\/span><\/b><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0combinado con<\/span><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">movimi<\/span><\/b><b><span data-contrast=\"auto\">entos<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">peque\u00f1os y r\u00e1pidos\u00a0<\/span><\/b><b><span data-contrast=\"auto\">de aspiraci\u00f3n\/infusi<\/span><\/b><b><span data-contrast=\"auto\">\u00f3n<\/span><\/b><span data-contrast=\"auto\">, para movilizar\u00a0<\/span><span data-contrast=\"auto\">la obstrucci\u00f3n.<\/span><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">Nunca se debe hacer fuerza,<\/span><\/b><span data-contrast=\"auto\">\u00a0podr\u00eda provocar la migraci\u00f3n de un co<\/span><span data-contrast=\"auto\">\u00e1<\/span><span data-contrast=\"auto\">gulo y tener consecuencias graves (embolia pulmonar).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:426,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Cuando esta maniobra no sea eficaz<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">deberemos\u00a0<\/span><span data-contrast=\"auto\">usar soluciones\u00a0<\/span><span data-contrast=\"auto\">de desobstrucci\u00f3n<\/span><span data-contrast=\"auto\">:\u00a0 s<\/span><span data-contrast=\"auto\">e administra la soluci\u00f3n\u00a0<\/span><span data-contrast=\"auto\">elegida en<\/span><span data-contrast=\"auto\">\u00a0cantidad\u00a0<\/span><b><span data-contrast=\"auto\">correspondiente al<\/span><\/b><b><span data-contrast=\"auto\">\u00a0espacio muerto\u00a0<\/span><\/b><b><span data-contrast=\"auto\">d<\/span><\/b><b><span data-contrast=\"auto\">el cat\u00e9ter<\/span><\/b><span data-contrast=\"auto\">\u00a0y se le deja actuar durante\u00a0<\/span><b><span data-contrast=\"auto\">30 minutos<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">como m\u00ednimo<\/span><span data-contrast=\"auto\">. Esta maniobra se repetir\u00e1\u00a0<\/span><b><span data-contrast=\"auto\">3 o 4 veces<\/span><\/b><span data-contrast=\"auto\">\u00a0en las siguientes\u00a0<\/span><b><span data-contrast=\"auto\">2 o 3 horas<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:426,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Las soluciones a utilizar en funci\u00f3n del tipo de oclusi\u00f3n son las siguientes:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559731&quot;:426,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Co\u00e1gulo<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">usaremos\u00a0<\/span><span data-contrast=\"auto\">trombol\u00edtico\u00a0<\/span><span data-contrast=\"auto\">(<\/span><span data-contrast=\"auto\">U<\/span><span data-contrast=\"auto\">ro<\/span><span data-contrast=\"auto\">quinasa<\/span><span data-contrast=\"auto\">\u00a010.000<\/span><span data-contrast=\"auto\">\u00a0unidades\/<\/span><span data-contrast=\"auto\">ml<\/span><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">L\u00edpidos<\/span><\/b><span data-contrast=\"auto\">:<\/span><span data-contrast=\"auto\">\u00a0etanol\u00a0<\/span><span data-contrast=\"auto\">al 50<\/span><span data-contrast=\"auto\">-75\u00a0<\/span><span data-contrast=\"auto\">%<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Contraste<\/span><\/b><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">por\u00a0<\/span><span data-contrast=\"auto\">T<\/span><span data-contrast=\"auto\">AC<\/span><span data-contrast=\"auto\">\u00a0o Resonancia magn\u00e9tica:<\/span><span data-contrast=\"auto\">\u00a0Bicarbonato molar<\/span><span data-contrast=\"auto\">\u00a0(<\/span><span data-contrast=\"auto\">8,5<\/span><span data-contrast=\"auto\">%<\/span><span data-contrast=\"auto\">)<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><span data-contrast=\"auto\">Precipitados\u00a0<\/span><b><span data-contrast=\"auto\">farmacol\u00f3gicos\u00a0<\/span><\/b><b><span data-contrast=\"auto\">de bajo p<\/span><\/b><b><span data-contrast=\"auto\">H<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">soluci\u00f3n acida<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" aria-setsize=\"-1\" data-aria-posinset=\"0\" data-aria-level=\"1\"><span data-contrast=\"auto\">Precipitados\u00a0<\/span><b><span data-contrast=\"auto\">farmacol\u00f3gicos de alto p<\/span><\/b><b><span data-contrast=\"auto\">H<\/span><\/b><span data-contrast=\"auto\">:\u00a0<\/span><span data-contrast=\"auto\">soluci\u00f3n\u00a0<\/span><span data-contrast=\"auto\">b\u00e1sica<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9528\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2.jpg\" alt=\"C\u00f3mo desobstruir un cat\u00e9ter\" width=\"1080\" height=\"1080\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2.jpg 1080w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-300x300.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-1024x1024.jpg 1024w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-150x150.jpg 150w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-768x768.jpg 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-70x70.jpg 70w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-335x335.jpg 335w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-360x360.jpg 360w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><span data-contrast=\"auto\">En caso de<\/span><span data-contrast=\"auto\">\u00a0<\/span><strong>obstrucci\u00f3n\u00a0completa:\u00a0<\/strong><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559685&quot;:567,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Se\u00a0<\/span><span data-contrast=\"auto\">administrar<\/span><span data-contrast=\"auto\">\u00e1<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">la soluci\u00f3n,\u00a0<\/span><b><span data-contrast=\"auto\">sin presi\u00f3n<\/span><\/b><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">con el\u00a0<\/span><b><span data-contrast=\"auto\">m\u00e9todo de las dos jeringas<\/span><\/b><span data-contrast=\"auto\">:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:567,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<ol>\n<li><span data-contrast=\"auto\">Se conecta una\u00a0<\/span><b><span data-contrast=\"auto\">llave de tres v\u00edas<\/span><\/b><span data-contrast=\"auto\">\u00a0al prolongador d<\/span><span data-contrast=\"auto\">el PICC<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">A esta misma llave de tres v\u00edas se<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">conecta<\/span><span data-contrast=\"auto\">n<\/span> <b><span data-contrast=\"auto\">dos jeringas <\/span><\/b><b><span data-contrast=\"auto\">de 10 ml<\/span><\/b><span data-contrast=\"auto\">, una\u00a0<\/span><b><span data-contrast=\"auto\">vac<\/span><\/b><b><span data-contrast=\"auto\">\u00eda<\/span><\/b><span data-contrast=\"auto\">\u00a0y la otra con la\u00a0<\/span><b><span data-contrast=\"auto\">soluci\u00f3n\u00a0<\/span><\/b><b><span data-contrast=\"auto\">para desobstrucci\u00f3n<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">Girando la llave<\/span><span data-contrast=\"auto\">\u00a0de manera que se conecte solo la jeringa\u00a0<\/span><span data-contrast=\"auto\">vac<\/span><span data-contrast=\"auto\">\u00eda<\/span><span data-contrast=\"auto\">\u00a0con el\u00a0<\/span><span data-contrast=\"auto\">cat\u00e9ter,\u00a0<\/span><b><span data-contrast=\"auto\">se aspira<\/span><\/b><span data-contrast=\"auto\">\u00a0con\u00a0<\/span><span data-contrast=\"auto\">est<\/span><span data-contrast=\"auto\">a jeringa<\/span><span data-contrast=\"auto\">\u00a0para crear\u00a0<\/span><span data-contrast=\"auto\">un<\/span><span data-contrast=\"auto\">\u00a0<\/span><b><span data-contrast=\"auto\">vac<\/span><\/b><b><span data-contrast=\"auto\">\u00edo<\/span><\/b><b><span data-contrast=\"auto\">\u00a0<\/span><\/b><b><span data-contrast=\"auto\">en el interior<\/span><\/b><span data-contrast=\"auto\">\u00a0del cat\u00e9ter<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<li><span data-contrast=\"auto\">En ese momento<\/span><span data-contrast=\"auto\">,\u00a0<\/span><b><span data-contrast=\"auto\">manteniendo la\u00a0<\/span><\/b><b><span data-contrast=\"auto\">aspiraci\u00f3n<\/span><\/b><span data-contrast=\"auto\">\u00a0con la jeringa<\/span><span data-contrast=\"auto\">, se gira la llave<\/span><span data-contrast=\"auto\">\u00a0de manera que el cat\u00e9ter\u00a0<\/span><b><span data-contrast=\"auto\">aspire\u00a0<\/span><\/b><b><span data-contrast=\"auto\">la soluci\u00f3n\u00a0<\/span><\/b><b><span data-contrast=\"auto\">presente en la otra\u00a0<\/span><\/b><b><span data-contrast=\"auto\">jeringa<\/span><\/b><b><span data-contrast=\"auto\">.\u00a0<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/li>\n<\/ol>\n<p><span data-contrast=\"auto\">La maniobra se repite cada 15 o 30\u00a0minutos\u00a0<\/span><span data-contrast=\"auto\">,\u00a0hasta\u00a0<\/span><span data-contrast=\"auto\">que<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">en la aspiraci\u00f3n\u00a0<\/span><span data-contrast=\"auto\">con la jeringa vac<\/span><span data-contrast=\"auto\">\u00eda<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">se compruebe el\u00a0<\/span><b><span data-contrast=\"auto\">reflujo<\/span><\/b><b><span data-contrast=\"auto\">\u00a0sangu\u00edneo<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:567,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><iframe loading=\"lazy\" title=\"Chapter 17 - Declotting Catheter\" width=\"1080\" height=\"810\" src=\"https:\/\/www.youtube.com\/embed\/GVtgO3lZyNc?feature=oembed\"  allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen><\/iframe><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">La\u00a0<\/span><span data-contrast=\"auto\">identificaci\u00f3n y\u00a0<\/span><span data-contrast=\"auto\">prevenci\u00f3n\u00a0<\/span><span data-contrast=\"auto\">de\u00a0<\/span><span data-contrast=\"auto\">las obstrucciones<\/span><span data-contrast=\"auto\">\u00a0de los cat\u00e9teres\u00a0<\/span><span data-contrast=\"auto\">PICC\u00a0<\/span><span data-contrast=\"auto\">son<\/span><span data-contrast=\"auto\">\u00a0f\u00e1cil<\/span><span data-contrast=\"auto\">es<\/span><span data-contrast=\"auto\">\u00a0de predecir\u00a0<\/span><span data-contrast=\"auto\">y por tanto<\/span><span data-contrast=\"auto\">\u00a0de\u00a0<\/span><span data-contrast=\"auto\">evitar<\/span><span data-contrast=\"auto\">. S<\/span><span data-contrast=\"auto\">u\u00a0logro<\/span><span data-contrast=\"auto\">\u00a0<\/span><span data-contrast=\"auto\">\u00a0supone\u00a0<\/span><span data-contrast=\"auto\">una\u00a0<\/span><span data-contrast=\"auto\">reduc<\/span><span data-contrast=\"auto\">ci\u00f3n<\/span><span data-contrast=\"auto\">\u00a0de<\/span><span data-contrast=\"auto\"> costes y lo\u00a0m\u00e1s\u00a0importante<\/span><span data-contrast=\"auto\">,\u00a0<\/span><span data-contrast=\"auto\">una mejora de<\/span><span data-contrast=\"auto\">\u00a0la seguridad del paciente\u00a0<\/span><span data-contrast=\"auto\">y en <\/span><span data-contrast=\"auto\">su calidad de vida<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:360}\">\u00a0<\/span><\/p>\n<p>[accordion title=&#8217;Bibliograf\u00eda&#8217;]<span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p aria-level=\"3\"><b><span data-contrast=\"auto\">&#8211;<\/span><\/b>\u00bfQu\u00e9 es la obstrucci\u00f3n de cat\u00e9ter venoso?- Blog GruMAV 28\/02\/2019<\/p>\n<p>https:\/\/www.grumav.com\/2019\/02\/28\/que-es-la-obstruccion-de-cateter-venoso\/<\/p>\n<p>&#8211; Manual GAVeCeLT sobre PICC y Midline 2016<\/p>\n<p><span data-contrast=\"auto\">-\u00bfCu\u00e1l es el tratamiento recomendado para la obstrucci\u00f3n de un cat\u00e9ter venoso central insertado perif\u00e9ricamente?<\/span><span data-contrast=\"auto\"> &#8211; Biblioteca virtual Murcia Salud <\/span><b><span data-contrast=\"auto\">26\/04\/2018<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span> <a href=\"https:\/\/www.murciasalud.es\/preevid\/22330\"><span data-contrast=\"none\">https:\/\/www.murciasalud.es\/preevid\/22330<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">-PICC <\/span><span data-contrast=\"auto\">Peripherally<\/span> <span data-contrast=\"auto\">Inserted<\/span><span data-contrast=\"auto\"> Central <\/span><span data-contrast=\"auto\">Catheter<\/span><span data-contrast=\"auto\"> CUIDADOS DE ENFERMERIA Redactado por PICC <\/span><span data-contrast=\"auto\">Team<\/span><span data-contrast=\"auto\"> del HOSPITAL DONOSTIA. Instituto Donostia de <\/span><span data-contrast=\"auto\">Onco<\/span><span data-contrast=\"auto\">-Hematolog\u00eda<\/span><span data-contrast=\"auto\"> &#8211; <\/span><span data-contrast=\"auto\">Hospital Universitario <\/span><span data-contrast=\"auto\">Donostia<\/span><span data-contrast=\"auto\"> Marzo<\/span><span data-contrast=\"auto\"> 2012<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span> <a href=\"http:\/\/www.incativ.es\/documentos\/guias\/1_GUIA_de_CUIDADOS_DE_ENFERMERIA-_Revision_Marzo_2012_%5b1%5d.pdf\"><span data-contrast=\"none\">http:\/\/www.incativ.es\/documentos\/guias\/1_GUIA_de_CUIDADOS_DE_ENFERMERIA-_Revision_Marzo_2012_[1].pdf<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0&#8211;<\/span><span data-contrast=\"auto\">CUIDADOS DEL PICC &#8211; Mar\u00eda Luisa Mart\u00ednez <\/span><span data-contrast=\"auto\">S\u00e1nchez, Residente<\/span><span data-contrast=\"auto\"> de enfermer\u00eda pedi\u00e1trica Hospital Universitario Reina Sof\u00eda<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span> <a href=\"https:\/\/spaoyex.es\/sites\/default\/files\/cuidados_del_picc.pdf\"><span data-contrast=\"none\">https:\/\/spaoyex.es\/sites\/default\/files\/cuidados_del_picc.pdf<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p aria-level=\"1\"><span data-contrast=\"none\">-Patterns<\/span><span data-contrast=\"none\"> and <\/span><span data-contrast=\"none\">Predictors<\/span> <span data-contrast=\"none\">of<\/span> <span data-contrast=\"none\">Peripherally<\/span> <span data-contrast=\"none\">Inserted<\/span><span data-contrast=\"none\"> Central <\/span><span data-contrast=\"none\">Catheter<\/span> <span data-contrast=\"none\">Occlusion<\/span><span data-contrast=\"none\">: <\/span><span data-contrast=\"none\">The<\/span><span data-contrast=\"none\"> 3P-O <\/span><span data-contrast=\"none\">Study<\/span> <span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:0,&quot;335559740&quot;:259}\">\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Smith+SN&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Shawna N Smith<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Moureau+N&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Nancy Moureau<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Vaughn+VM&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Valerie M Vaughn<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Boldenow+T&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Tanya Boldenow<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Kaatz+S&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Scott Kaatz<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Grant+PJ&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Paul J Grant<\/span><\/a><span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Bernstein+SJ&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Steven J Bernstein<\/span><\/a> <span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Flanders+SA&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Scott A Flanders<\/span><\/a> <span data-contrast=\"auto\">,\u00a0<\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Chopra+V&amp;cauthor_id=28292637\"><span data-contrast=\"none\">Vineet Chopra<\/span><\/a><span data-contrast=\"auto\"> &#8211; <\/span><span data-contrast=\"auto\">Mayo<\/span><span data-contrast=\"auto\"> 2017<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28292637\/\"><span data-contrast=\"none\">https:\/\/pubmed.ncbi.nlm.nih.gov\/28292637\/<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span> <span data-contrast=\"auto\">-The<\/span><span data-contrast=\"auto\"> C.L.O.T. Tool <\/span><span data-contrast=\"auto\">for<\/span> <span data-contrast=\"auto\">Identifying<\/span> <span data-contrast=\"auto\">Strategies<\/span> <span data-contrast=\"auto\">to<\/span> <span data-contrast=\"auto\">Prevent<\/span><span data-contrast=\"auto\"> PICC <\/span><span data-contrast=\"auto\">Catheter<\/span> <span data-contrast=\"auto\">Occlusion<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span> <span data-contrast=\"auto\">https:\/\/mi-hms.org\/sites\/default\/files\/CLOT%20Tool_FINAL_053117.pdf<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">\u00a0<\/span>[\/accordion]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El mantenimiento del PICC supone tener claro los procedimientos\u00a0de lavado y sellados.\u202f\u00a0Pero,\u00a0si a pesar de\u00a0aplicar de forma correcta los protocolos, surge la obstrucci\u00f3n del cat\u00e9ter \u00bfQu\u00e9 debemos hacer?\u202f\u00a0 En este post, hacemos un repaso sobre las\u00a0t\u00e9cnicas de\u00a0prevenci\u00f3n y\u00a0desobstrucci\u00f3n\u00a0para\u202fpoder\u00a0mantener\u00a0la\u00a0permeabilidad\u00a0del cat\u00e9ter y asegurar su\u00a0correcto funcionamiento.\u202f\u00a0\u00a0 DEFINICI\u00d3N\u00a0E\u00a0INCIDENCIA\u00a0DE\u00a0LA\u00a0OBSTRUCCI\u00d3N\u00a0 El\u00a0PICC\u00a0es\u00a0un excelente recurso en la terapia intravenosa de media y larga [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":9565,"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":[133,80,116],"tags":[369,370,75],"class_list":["post-9513","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-accesos-vasculares","category-articulos","category-terapias-intravasculares","tag-obstruccion","tag-oclusion","tag-picc"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Prevenci\u00f3n de las complicaciones en PICC: c\u00f3mo evitar la obstrucci\u00f3n\u202f\u00a0 \u00a0 - Campus Vygon Chile<\/title>\n<meta name=\"description\" content=\"Una de las complicaciones m\u00e1s comunes de los PICCs es la obstrucci\u00f3n. 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