Bubble Test para la Comprobación de Normoposición de la punta de Catéteres Venosos Centrales, una revisión sistemática

Rafael González Velasco; Lorena Castillo Muñoz; María del Pilar Robles Salas

Rafael González Velasco Hospital Universitario Reina Sofía. Córdoba, España https://orcid.org/0000-0003-3669-9813
Lorena Castillo Muñoz Hospital Universitario Reina Sofía. Córdoba, España
María del Pilar Robles Salas Hospital Universitario Reina Sofía. Córdoba, España

Palabras clave: Catéter venoso central, Microburbujas, Ecografía, Ultrasonido, Test de burbujas

Key-words: Catheterization, Central venous, Instrumentation, Microbubbles, Ultrasonography, Ultrasound microbubbles

Resumen

Objetivo principal: Analizar el Bubble Test como método para la comprobación de la normoposición de la punta de catéteres venosos centrales. Metodología: Revisión sistemática de la literatura científica publicada a partir del 2014, basada en una pregunta PICO utilizando los principales MeSH. Resultados principales: El Bubble Test cuenta con una sensibilidad moderada y una alta especificidad, lo que lo traduce en método eficaz para detectar malposiciones. Un alargamiento del tiempo de aparición del jet ecográfico de aire puede indicar malposiciones del catéter. Conclusión principal: El Bubble Test resulta una prueba precisa, económica, rápida, no invasiva y segura para detectar malposiciones de la punta del catéter venoso central (de inserción periférica o central), que cuenta con una sensibilidad moderada y una alta especificidad.

Abstract

Objective: To analyze the Bubble Test as a method to verify the normal position of the central venous catheters´ tip. Methods: Systematic Review of the scientific literature published since 2014, based on the PICO question using the main MeSH. Results: The Bubble Test has a moderate sensitivity and high specificity, which makes it an effective method to detect malpositions. A lengthening of the appearance time of the ultrasound air jet may indicate catheter malpositions. Conclusions: The Bubble Test is an accurate, economical, rapid, non-invasive and safe test to detect malpositions of the tip of the central venous catheter (peripherally or centrally inserted), which has moderate sensitivity and high specificity.

Bibliografía

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Bubble Test para la Comprobación de Normoposición de la punta de Catéteres Venosos Centrales, una revisión sistemática

Bubble test for the normal position’s check of the central venous line’s tip, a narrative review

Resumen

Abstract

Bibliografía