{"id":9513,"date":"2020-07-01T14:21:10","date_gmt":"2020-07-01T12:21:10","guid":{"rendered":"http:\/\/campusvygon.com\/es\/?p=9513"},"modified":"2025-09-29T16:55:22","modified_gmt":"2025-09-29T14:55:22","slug":"prevencion-de-las-complicaciones-en-picc-como-evitar-la-obstruccion","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/es\/prevencion-de-las-complicaciones-en-picc-como-evitar-la-obstruccion\/","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&nbsp;<\/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}\">&nbsp;<\/span><span data-contrast=\"auto\">Pero<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">&nbsp;si a pesar de<\/span><span data-contrast=\"auto\">&nbsp;aplicar 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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">En este post, hacemos un repaso sobre las&nbsp;<\/span><b><span data-contrast=\"auto\">t\u00e9cnicas de<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;prevenci\u00f3n y<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;desobstrucci\u00f3n<\/span><\/b><span data-contrast=\"auto\">&nbsp;para\u202fpoder&nbsp;<\/span><span data-contrast=\"auto\">mantener&nbsp;<\/span><span data-contrast=\"auto\">la&nbsp;<\/span><b><span data-contrast=\"auto\">permeabilidad<\/span><\/b><span data-contrast=\"auto\">&nbsp;del cat\u00e9ter y asegurar su&nbsp;<\/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\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">DEFINICI\u00d3N<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;E<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">INCIDENCIA&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">DE&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">LA&nbsp;<\/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}\">&nbsp;<\/span><\/h3>\n<p><span data-contrast=\"auto\">El<\/span><span data-contrast=\"auto\">&nbsp;PICC<\/span><span data-contrast=\"auto\">&nbsp;es<\/span><span data-contrast=\"auto\">&nbsp;un 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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">La<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">oclusi\u00f3n se puede&nbsp;<\/span><span data-contrast=\"auto\">definir como<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">una&nbsp;<\/span><b><span data-contrast=\"auto\">parcial o permanente<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;incapacidad de obtener<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;reflujo&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">sangu\u00edneo o<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;de infundir<\/span><\/b><span data-contrast=\"auto\">&nbsp;su<\/span><span data-contrast=\"auto\">stancias<\/span><span data-contrast=\"auto\">&nbsp;a trav\u00e9s de<\/span><span data-contrast=\"auto\">&nbsp;la luz&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">La obstrucci\u00f3n<\/span><span data-contrast=\"auto\">&nbsp;puede tener graves consecuencias para el paciente<\/span><span data-contrast=\"auto\">: el cat\u00e9ter puede convertirse en un dispositivo&nbsp;<\/span><b><span data-contrast=\"auto\">inutiliza<\/span><\/b><b><span data-contrast=\"auto\">ble<\/span><\/b><span data-contrast=\"auto\">,&nbsp;<\/span><b><span data-contrast=\"auto\">retrasando<\/span><\/b><span data-contrast=\"auto\">&nbsp;su tratamiento&nbsp;<\/span><span data-contrast=\"auto\">y&nbsp;<\/span><span data-contrast=\"auto\">en el peor caso,&nbsp;<\/span><span data-contrast=\"auto\">haciendo necesaria su&nbsp;<\/span><b><span data-contrast=\"auto\">retirada<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">y\/<\/span><span data-contrast=\"auto\">o&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Seg\u00fan el estudio de Smith,&nbsp;<\/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\">&nbsp;and&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">predictors<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">of<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">peripherally<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">inserted<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;central&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">catheter<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">occlusion<\/span><\/i><i><span data-contrast=\"auto\">:&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">the<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;3P-O&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">study<\/span><\/i><i><span data-contrast=\"auto\">\u201d&nbsp;<\/span><\/i><span data-contrast=\"auto\">que involucr\u00f3 a m\u00e1s de 13.000 pacientes, la&nbsp;<\/span><b><span data-contrast=\"auto\">tasa de oclusi\u00f3n de los&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">PICCs<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;es de 12%.<\/span><\/b><span data-contrast=\"auto\">&nbsp;En este trabajo comentan&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">Los&nbsp;<\/span><span data-contrast=\"auto\">PICCs<\/span><span data-contrast=\"auto\">&nbsp;colocados en el&nbsp;<\/span><b><span data-contrast=\"auto\">brazo&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">derecho<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">La&nbsp;<\/span><b><span data-contrast=\"auto\">comprobaci\u00f3n de la posici\u00f3n de la punta<\/span><\/b><span data-contrast=\"auto\">&nbsp;(comparando con los cat\u00e9teres cuya posici\u00f3n&nbsp;<\/span><span data-contrast=\"auto\">no<\/span><span data-contrast=\"auto\">&nbsp;fue 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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"13\" data-aria-posinset=\"2\" data-aria-level=\"1\"><a href=\"http:\/\/campusvygon.com\/es\/picc-monolumen-o-bilumen\/\"><span data-contrast=\"auto\">Los cat\u00e9teres<\/span><strong> multilumen<\/strong><\/a><span data-contrast=\"auto\">&nbsp;tiene<\/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\/es\/wp-content\/uploads\/sites\/7\/2019\/06\/Cat\u00e9ter-bilumen2.jpg\" alt=\"Cat\u00e9ter PICC de dos luces\" width=\"392\" height=\"409\" srcset=\"https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2019\/06\/Cat\u00e9ter-bilumen2.jpg 2876w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2019\/06\/Cat\u00e9ter-bilumen2-288x300.jpg 288w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2019\/06\/Cat\u00e9ter-bilumen2-768x801.jpg 768w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><span data-contrast=\"auto\">En el documento&nbsp;<\/span><i><span data-contrast=\"auto\">The<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;C.L.O.T. Tool&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">for<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">Identifying<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">Strategies<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">to<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">Prevent<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;PICC&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">Catheter<\/span><\/i><i><span data-contrast=\"auto\">&nbsp;<\/span><\/i><i><span data-contrast=\"auto\">Occlusion<\/span><\/i><i><span data-contrast=\"auto\">,&nbsp;<\/span><\/i><span data-contrast=\"auto\">l<\/span><span data-contrast=\"auto\">a red de<\/span><span data-contrast=\"auto\">&nbsp;hospital<\/span><span data-contrast=\"auto\">es<\/span><span data-contrast=\"auto\">&nbsp;de<\/span><span data-contrast=\"auto\">l estado de<\/span><span data-contrast=\"auto\">&nbsp;Michigan indica que<\/span><span data-contrast=\"auto\">&nbsp;el tratamiento de las oclusiones conlleva un&nbsp;<\/span><b><span data-contrast=\"auto\">gasto<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;anual<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;de 249.500$<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">y&nbsp;<\/span><span data-contrast=\"auto\">del 12% de&nbsp;<\/span><span data-contrast=\"auto\">PICCs<\/span><span data-contrast=\"auto\">&nbsp;ocluidos<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">el&nbsp;<\/span><span data-contrast=\"auto\">21% acabar\u00e1&nbsp;<\/span><b><span data-contrast=\"auto\">retir\u00e1ndose<\/span><\/b><span data-contrast=\"auto\">&nbsp;por 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}\">&nbsp;<\/span><\/p>\n<h3><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><b><span data-contrast=\"auto\">TIPOS<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;Y CAUSAS<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;DE LA OBSTRUCCI\u00d3N<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" 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&nbsp;infundir&nbsp;aunque con dificultad y el reflujo es m\u00ednimo&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"5\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Oclusi\u00f3n&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">t<\/span><\/b><b><span data-contrast=\"auto\">otal<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/span><span data-contrast=\"auto\">imposibilidad<\/span><span data-contrast=\"auto\">&nbsp;tanto para infundir c<\/span><span data-contrast=\"auto\">o<\/span><span data-contrast=\"auto\">mo<\/span><span data-contrast=\"auto\">&nbsp;para<\/span><span data-contrast=\"auto\">&nbsp;aspirar<\/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}\">&nbsp;<\/span><\/li>\n<\/ul>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><span data-contrast=\"auto\">Seg\u00fan el manual&nbsp;<\/span><span data-contrast=\"auto\">GAVeCeLT<\/span><span data-contrast=\"auto\">&nbsp;sobre PICC y&nbsp;Midline, l<\/span><span data-contrast=\"auto\">as causas de las obstrucciones de los cat\u00e9teres<\/span><span data-contrast=\"auto\">&nbsp;PICC<\/span><span data-contrast=\"auto\">&nbsp;pueden ser:<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"2\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Co\u00e1gulos<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/span><span data-contrast=\"auto\">que puedan quedar&nbsp;<\/span><span data-contrast=\"auto\">tras<\/span><span data-contrast=\"auto\">&nbsp;extracciones<\/span><span data-contrast=\"auto\">&nbsp;o infusiones de sangre<\/span><span data-contrast=\"auto\">&nbsp;o hemoderivados<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" 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\">&nbsp;su 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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" 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&nbsp;infundir&nbsp;pero no&nbsp;<\/span><span data-contrast=\"auto\">extraer (se habla de PWO:&nbsp;<\/span><b><span data-contrast=\"auto\">P<\/span><\/b><span data-contrast=\"auto\">ersistent<\/span><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">W<\/span><\/b><span data-contrast=\"auto\">ithdrawal<\/span><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">O<\/span><\/b><span data-contrast=\"auto\">cclusion<\/span><span data-contrast=\"auto\">&nbsp;=&nbsp;<\/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\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Agregados&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">lip\u00eddicos<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/span><span data-contrast=\"auto\">cuando se administra&nbsp;<\/span><span data-contrast=\"auto\">nutrici\u00f3n parenteral&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Precipitados de&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">f\u00e1rmacos<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/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\">&nbsp;<\/span><span data-contrast=\"auto\">simult\u00e1nea<\/span><span data-contrast=\"auto\">&nbsp;o con poca diferencia<\/span><span data-contrast=\"auto\">&nbsp;de tiempo<\/span><span data-contrast=\"auto\">&nbsp;de<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">f\u00e1rmacos incompatibles entre s\u00ed<\/span><\/li>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"6\" data-aria-posinset=\"3\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Medio de contraste<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/span><span data-contrast=\"auto\">despu\u00e9s de pruebas de<\/span><span data-contrast=\"auto\">&nbsp;tac o resonancias magn\u00e9ticas&nbsp;<\/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\">&nbsp;<a href=\"\/complicaciones-reservorios-pinch-off\/\">s<\/a><\/span><\/b><b><span data-contrast=\"auto\">\u00edndrome de&nbsp;<\/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\">&nbsp;<\/span><span data-contrast=\"auto\">pinzamiento<\/span><span data-contrast=\"auto\">&nbsp;del cat\u00e9ter<\/span><span data-contrast=\"auto\">&nbsp;entre<\/span><span data-contrast=\"auto\">&nbsp;la&nbsp;<\/span><span data-contrast=\"auto\">clav\u00edcula<\/span><span data-contrast=\"auto\">&nbsp;y la primera costilla provocados por movimientos del hombro<\/span><span data-contrast=\"auto\">&nbsp;(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}\">&nbsp;<\/span><\/p>\n<h3><b><span data-contrast=\"auto\">C\u00d3MO&nbsp;<\/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}\">&nbsp;<\/span><\/h3>\n<p><span data-contrast=\"auto\">La clave para prevenir las obstrucciones es&nbsp;<\/span><span data-contrast=\"auto\">el&nbsp;<\/span><b><span data-contrast=\"auto\">correcto lavado<\/span><\/b><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">&nbsp;Es necesari<\/span><span data-contrast=\"auto\">o<\/span><span data-contrast=\"auto\">&nbsp;aplicar una t\u00e9cnica correcta&nbsp;<\/span><span data-contrast=\"auto\">con<\/span><span data-contrast=\"auto\">&nbsp;una frecuencia&nbsp;<\/span><span data-contrast=\"auto\">acorde<\/span><span data-contrast=\"auto\">&nbsp;a este tipo de&nbsp;<\/span><b><span data-contrast=\"auto\">D<\/span><\/b><span data-contrast=\"auto\">ispositivos de&nbsp;<\/span><b><span data-contrast=\"auto\">A<\/span><\/b><span data-contrast=\"auto\">cceso&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">1- <\/span><span data-contrast=\"auto\">Lavar de manera pulsada<\/span><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">PUSH\/PAUSE<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">con 10 ml de suero&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">fisiol\u00f3gico<\/span><\/b><span data-contrast=\"auto\">&nbsp;antes y despu\u00e9s de cada administraci\u00f3n.<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">Lavar&nbsp;<\/span><b><span data-contrast=\"auto\">con 20 ml<\/span><\/b><span data-contrast=\"auto\">&nbsp;si&nbsp;<\/span><span data-contrast=\"auto\">son&nbsp;<\/span><b><span data-contrast=\"auto\">hemoderivados<\/span><\/b><b><span data-contrast=\"auto\">, administraci\u00f3n de&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">l\u00edpidos, extracciones de sangre<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;o&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p>2-<b><span data-contrast=\"auto\"> Sellar<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<ul>\n<li><span data-contrast=\"auto\">los efectos adversos que supone son un problema&nbsp;<\/span><span data-contrast=\"auto\">recurrente&nbsp;<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li>\n<li><span data-contrast=\"auto\">se ha demostrado&nbsp;que&nbsp;con un uso adecuado del suero salino, la permeabilidad del cat\u00e9ter se mantiene igual que con est\u00e9&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">&nbsp;3- <\/span><b><span data-contrast=\"auto\">Evitar<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">el reflujo&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">de sangre<\/span><\/b><span data-contrast=\"auto\">&nbsp;en el&nbsp;<\/span><span data-contrast=\"auto\">cat\u00e9ter en el momento de la desconexi<\/span><span data-contrast=\"auto\">\u00f3n<\/span><span data-contrast=\"auto\">&nbsp;de la jeringa<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">usando&nbsp;<\/span><span data-contrast=\"auto\">un&nbsp;<\/span><b><span data-contrast=\"auto\">conector<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">con desplazamiento&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">4- Es importante tambi\u00e9n<\/span><span data-contrast=\"auto\">, usar<\/span><span data-contrast=\"auto\">&nbsp;el&nbsp;<\/span><b><span data-contrast=\"auto\">menor n<\/span><\/b><b><span data-contrast=\"auto\">\u00famero<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;de luces posibles<\/span><\/b><span data-contrast=\"auto\">, una&nbsp;<\/span><b><span data-contrast=\"auto\">correcta&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">posici\u00f3n de la punta<\/span><\/b><span data-contrast=\"auto\">,&nbsp;<\/span><span data-contrast=\"auto\">un&nbsp;<\/span><b><span data-contrast=\"auto\">adecuado&nbsp;<\/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\">&nbsp;del cat<\/span><\/b><b><span data-contrast=\"auto\">\u00e9ter<\/span><\/b><span data-contrast=\"auto\">,&nbsp;<\/span><span data-contrast=\"auto\">el uso<\/span><span data-contrast=\"auto\">&nbsp;de&nbsp;<\/span><b><span data-contrast=\"auto\">ecograf\u00eda<\/span><\/b><span data-contrast=\"auto\">&nbsp;y<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">de&nbsp;<\/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}\">&nbsp;<\/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&nbsp;<\/span><b><span data-contrast=\"auto\">lavado<\/span><\/b><span data-contrast=\"auto\">&nbsp;se tiene que hacer&nbsp;<\/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\">&nbsp;el cat\u00e9ter y el&nbsp;<\/span><b><span data-contrast=\"auto\">sellado despu\u00e9s<\/span><\/b><span data-contrast=\"auto\">&nbsp;de cada uso. Cuando el DAV est\u00e1&nbsp;<\/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:&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/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\">&nbsp;y pedir confirmaci\u00f3n a un&nbsp;<\/span><span data-contrast=\"auto\">radi\u00f3logo<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">si fuese necesario, <\/span><span data-contrast=\"auto\">para poder ver el alcance de la&nbsp;<\/span><span data-contrast=\"auto\">misma<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">(posible trombo).<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Frente a la oclusi\u00f3n del PICC<\/span><span data-contrast=\"auto\">,&nbsp;<\/span><span data-contrast=\"auto\">las<\/span><b><span data-contrast=\"auto\">&nbsp;t\u00e9cnicas de desobstrucci\u00f3n<\/span><\/b><span data-contrast=\"auto\">&nbsp;son 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}\">&nbsp;<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"8\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">En caso de<\/span><span data-contrast=\"auto\">&nbsp;<strong>obstrucci\u00f3n&nbsp;<\/strong><\/span><strong>parcial:<\/strong><span data-contrast=\"auto\">&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Utilizaremos&nbsp;<\/span><span data-contrast=\"auto\">siempre&nbsp;<\/span><b><span data-contrast=\"auto\">una jeringa de 10 ml<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/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&nbsp;<\/span><b><span data-contrast=\"auto\">de alto flujo&nbsp;<\/span><\/b><span data-contrast=\"auto\">como subraya&nbsp;<\/span><span data-contrast=\"auto\">GAVeCeLT<\/span><span data-contrast=\"auto\">, se podr\u00eda llegar a usar&nbsp;<\/span><span data-contrast=\"auto\">jeringas&nbsp;<\/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\">&nbsp;bares) 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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">La maniobra consistir\u00e1&nbsp;<\/span><span data-contrast=\"auto\">en&nbsp;<\/span><span data-contrast=\"auto\">la&nbsp;<\/span><b><span data-contrast=\"auto\">administraci\u00f3n repetida de<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">pocos mil\u00edmetros de<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">suero&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">fisiol\u00f3gico&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">a presi\u00f3n<\/span><\/b><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">&nbsp;combinado con<\/span><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">movimi<\/span><\/b><b><span data-contrast=\"auto\">entos<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">peque\u00f1os y r\u00e1pidos&nbsp;<\/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&nbsp;<\/span><span data-contrast=\"auto\">la obstrucci\u00f3n.<\/span><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">Nunca se debe hacer fuerza,<\/span><\/b><span data-contrast=\"auto\">&nbsp;podr\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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Cuando esta maniobra no sea eficaz<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">deberemos&nbsp;<\/span><span data-contrast=\"auto\">usar soluciones&nbsp;<\/span><span data-contrast=\"auto\">de desobstrucci\u00f3n<\/span><span data-contrast=\"auto\">:&nbsp; s<\/span><span data-contrast=\"auto\">e administra la soluci\u00f3n&nbsp;<\/span><span data-contrast=\"auto\">elegida en<\/span><span data-contrast=\"auto\">&nbsp;cantidad&nbsp;<\/span><b><span data-contrast=\"auto\">correspondiente al<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;espacio muerto&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">d<\/span><\/b><b><span data-contrast=\"auto\">el cat\u00e9ter<\/span><\/b><span data-contrast=\"auto\">&nbsp;y se le deja actuar durante&nbsp;<\/span><b><span data-contrast=\"auto\">30 minutos<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">como m\u00ednimo<\/span><span data-contrast=\"auto\">. Esta maniobra se repetir\u00e1&nbsp;<\/span><b><span data-contrast=\"auto\">3 o 4 veces<\/span><\/b><span data-contrast=\"auto\">&nbsp;en las siguientes&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<ul>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" data-aria-posinset=\"0\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Co\u00e1gulo<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/span><span data-contrast=\"auto\">usaremos&nbsp;<\/span><span data-contrast=\"auto\">trombol\u00edtico&nbsp;<\/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\">&nbsp;10.000<\/span><span data-contrast=\"auto\">&nbsp;unidades\/<\/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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" 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\">&nbsp;etanol&nbsp;<\/span><span data-contrast=\"auto\">al 50<\/span><span data-contrast=\"auto\">-75&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" data-aria-posinset=\"0\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Contraste<\/span><\/b><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">por&nbsp;<\/span><span data-contrast=\"auto\">T<\/span><span data-contrast=\"auto\">AC<\/span><span data-contrast=\"auto\">&nbsp;o Resonancia magn\u00e9tica:<\/span><span data-contrast=\"auto\">&nbsp;Bicarbonato molar<\/span><span data-contrast=\"auto\">&nbsp;(<\/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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" data-aria-posinset=\"0\" data-aria-level=\"1\"><span data-contrast=\"auto\">Precipitados&nbsp;<\/span><b><span data-contrast=\"auto\">farmacol\u00f3gicos&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">de bajo p<\/span><\/b><b><span data-contrast=\"auto\">H<\/span><\/b><span data-contrast=\"auto\">:&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<li data-leveltext=\"-\" data-font=\"Calibri\" data-listid=\"11\" data-aria-posinset=\"0\" data-aria-level=\"1\"><span data-contrast=\"auto\">Precipitados&nbsp;<\/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\">:&nbsp;<\/span><span data-contrast=\"auto\">soluci\u00f3n&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9528\" src=\"http:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2.jpg\" alt=\"C\u00f3mo desobstruir un cat\u00e9ter\" width=\"1080\" height=\"1080\" srcset=\"https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2.jpg 1080w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-300x300.jpg 300w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-1024x1024.jpg 1024w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-150x150.jpg 150w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-768x768.jpg 768w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-70x70.jpg 70w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/2020\/07\/Infograf\u00eda-desobstrucci\u00f3n-cat\u00e9terV2-335x335.jpg 335w, https:\/\/campusvygon.com\/es\/wp-content\/uploads\/sites\/7\/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}\">&nbsp;<\/span><span data-contrast=\"auto\">En caso de<\/span><span data-contrast=\"auto\">&nbsp;<\/span><strong>obstrucci\u00f3n&nbsp;completa:&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">Se&nbsp;<\/span><span data-contrast=\"auto\">administrar<\/span><span data-contrast=\"auto\">\u00e1<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">la soluci\u00f3n,&nbsp;<\/span><b><span data-contrast=\"auto\">sin presi\u00f3n<\/span><\/b><span data-contrast=\"auto\">,&nbsp;<\/span><span data-contrast=\"auto\">con el&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<ol>\n<li><span data-contrast=\"auto\">Se conecta una&nbsp;<\/span><b><span data-contrast=\"auto\">llave de tres v\u00edas<\/span><\/b><span data-contrast=\"auto\">&nbsp;al 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}\">&nbsp;<\/span><\/li>\n<li><span data-contrast=\"auto\">A esta misma llave de tres v\u00edas se<\/span><span data-contrast=\"auto\">&nbsp;<\/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&nbsp;<\/span><b><span data-contrast=\"auto\">vac<\/span><\/b><b><span data-contrast=\"auto\">\u00eda<\/span><\/b><span data-contrast=\"auto\">&nbsp;y la otra con la&nbsp;<\/span><b><span data-contrast=\"auto\">soluci\u00f3n&nbsp;<\/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}\">&nbsp;<\/span><\/li>\n<li><span data-contrast=\"auto\">Girando la llave<\/span><span data-contrast=\"auto\">&nbsp;de manera que se conecte solo la jeringa&nbsp;<\/span><span data-contrast=\"auto\">vac<\/span><span data-contrast=\"auto\">\u00eda<\/span><span data-contrast=\"auto\">&nbsp;con el&nbsp;<\/span><span data-contrast=\"auto\">cat\u00e9ter,&nbsp;<\/span><b><span data-contrast=\"auto\">se aspira<\/span><\/b><span data-contrast=\"auto\">&nbsp;con&nbsp;<\/span><span data-contrast=\"auto\">est<\/span><span data-contrast=\"auto\">a jeringa<\/span><span data-contrast=\"auto\">&nbsp;para crear&nbsp;<\/span><span data-contrast=\"auto\">un<\/span><span data-contrast=\"auto\">&nbsp;<\/span><b><span data-contrast=\"auto\">vac<\/span><\/b><b><span data-contrast=\"auto\">\u00edo<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">en el interior<\/span><\/b><span data-contrast=\"auto\">&nbsp;del cat\u00e9ter<\/span><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li>\n<li><span data-contrast=\"auto\">En ese momento<\/span><span data-contrast=\"auto\">,&nbsp;<\/span><b><span data-contrast=\"auto\">manteniendo la&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">aspiraci\u00f3n<\/span><\/b><span data-contrast=\"auto\">&nbsp;con la jeringa<\/span><span data-contrast=\"auto\">, se gira la llave<\/span><span data-contrast=\"auto\">&nbsp;de manera que el cat\u00e9ter&nbsp;<\/span><b><span data-contrast=\"auto\">aspire&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">la soluci\u00f3n&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">presente en la otra&nbsp;<\/span><\/b><b><span data-contrast=\"auto\">jeringa<\/span><\/b><b><span data-contrast=\"auto\">.&nbsp;<\/span><\/b><span data-ccp-props=\"{&quot;134233279&quot;:true,&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li>\n<\/ol>\n<p><span data-contrast=\"auto\">La maniobra se repite cada 15 o 30&nbsp;minutos&nbsp;<\/span><span data-contrast=\"auto\">,&nbsp;hasta&nbsp;<\/span><span data-contrast=\"auto\">que<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">en la aspiraci\u00f3n&nbsp;<\/span><span data-contrast=\"auto\">con la jeringa vac<\/span><span data-contrast=\"auto\">\u00eda<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">se compruebe el&nbsp;<\/span><b><span data-contrast=\"auto\">reflujo<\/span><\/b><b><span data-contrast=\"auto\">&nbsp;sangu\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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-contrast=\"auto\">La&nbsp;<\/span><span data-contrast=\"auto\">identificaci\u00f3n y&nbsp;<\/span><span data-contrast=\"auto\">prevenci\u00f3n&nbsp;<\/span><span data-contrast=\"auto\">de&nbsp;<\/span><span data-contrast=\"auto\">las obstrucciones<\/span><span data-contrast=\"auto\">&nbsp;de los cat\u00e9teres&nbsp;<\/span><span data-contrast=\"auto\">PICC&nbsp;<\/span><span data-contrast=\"auto\">son<\/span><span data-contrast=\"auto\">&nbsp;f\u00e1cil<\/span><span data-contrast=\"auto\">es<\/span><span data-contrast=\"auto\">&nbsp;de predecir&nbsp;<\/span><span data-contrast=\"auto\">y por tanto<\/span><span data-contrast=\"auto\">&nbsp;de&nbsp;<\/span><span data-contrast=\"auto\">evitar<\/span><span data-contrast=\"auto\">. S<\/span><span data-contrast=\"auto\">u&nbsp;logro<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-contrast=\"auto\">&nbsp;supone&nbsp;<\/span><span data-contrast=\"auto\">una&nbsp;<\/span><span data-contrast=\"auto\">reduc<\/span><span data-contrast=\"auto\">ci\u00f3n<\/span><span data-contrast=\"auto\">&nbsp;de<\/span><span data-contrast=\"auto\"> costes y lo&nbsp;m\u00e1s&nbsp;importante<\/span><span data-contrast=\"auto\">,&nbsp;<\/span><span data-contrast=\"auto\">una mejora de<\/span><span data-contrast=\"auto\">&nbsp;la seguridad del paciente&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><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}\">&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:259}\">&nbsp;&#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}\">&nbsp;<\/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}\">&nbsp;<\/span><\/p>\n<p><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}\">&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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\">,&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/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}\">&nbsp;<\/span>[\/accordion]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>El mantenimiento del PICC supone tener claro los procedimientos&nbsp;de lavado y sellados.\u202f&nbsp;Pero,&nbsp;si a pesar de&nbsp;aplicar de forma correcta los protocolos, surge la obstrucci\u00f3n del cat\u00e9ter \u00bfQu\u00e9 debemos hacer?\u202f&nbsp; En este post, hacemos un repaso sobre las&nbsp;t\u00e9cnicas de&nbsp;prevenci\u00f3n y&nbsp;desobstrucci\u00f3n&nbsp;para\u202fpoder&nbsp;mantener&nbsp;la&nbsp;permeabilidad&nbsp;del cat\u00e9ter y asegurar su&nbsp;correcto funcionamiento.\u202f&nbsp;&nbsp; DEFINICI\u00d3N&nbsp;E&nbsp;INCIDENCIA&nbsp;DE&nbsp;LA&nbsp;OBSTRUCCI\u00d3N&nbsp; El&nbsp;PICC&nbsp;es&nbsp;un excelente recurso en la terapia intravenosa de media y larga [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":48117,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[116],"tags":[369,370,75],"class_list":["post-9513","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-terapias-intravasculares","tag-obstruccion","tag-oclusion","tag-picc"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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 Espa\u00f1a<\/title>\n<meta name=\"description\" content=\"Una de las complicaciones m\u00e1s comunes de los PICCs es la obstrucci\u00f3n. Sin embargo, con protocolos adecuados es posible prevenirla y resolverla.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/campusvygon.com\/es\/prevencion-de-las-complicaciones-en-picc-como-evitar-la-obstruccion\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prevenci\u00f3n de las complicaciones en PICC: c\u00f3mo evitar la obstrucci\u00f3n\u202f\u00a0 \u00a0 - Campus Vygon Espa\u00f1a\" \/>\n<meta property=\"og:description\" content=\"Una de las complicaciones m\u00e1s comunes de los PICCs es la obstrucci\u00f3n. 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