<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-0015</journal-id>
<journal-title><![CDATA[Medicina Legal de Costa Rica]]></journal-title>
<abbrev-journal-title><![CDATA[Med. leg. Costa Rica]]></abbrev-journal-title>
<issn>1409-0015</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Medicina Forense]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-00152020000100074</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Catéter venoso central y sus complicaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[Central Venous Catheter and its complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Carranza]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Caro Pizarro]]></surname>
<given-names><![CDATA[Valeria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quirós Cárdenas]]></surname>
<given-names><![CDATA[Guiliana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Monge Badilla]]></surname>
<given-names><![CDATA[María José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyo Quirós]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Hospital Metropolitano Médica general]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas Blue Medical Center ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caja Costarricense del Seguro Social Área Salud Parrita Universidad de Ciencias Médicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af4">
<institution><![CDATA[,Caja Costarricense del Seguro Social Área Salud Parrita Universidad de Ciencias Médicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af5">
<institution><![CDATA[,Caja Costarricense del Seguro Social Universidad de Costa Rica ]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>74</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-00152020000100074&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-00152020000100074&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-00152020000100074&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El empleo de catéter venoso central en la práctica clínica ha surgido como una opción de acceso vascular en pacientes con estancias hospitalarias prolongadas por diversas patologías del nuevo espectro epidemiológico. Se le llama así a un acceso al torrente sanguíneo a nivel central, para la administración de medicamentos entre otras funciones. Existen varios tipos de catéter venoso central, dependiendo de la necesidad del paciente así se elige el indicado. Sin embargo, las infecciones por el uso de dichos instrumentos invasivos, así como otras complicaciones no infecciosas, divididas en inmediatas como lo son la punción arterial, el sangrado, neumotórax o hemotórax, arritmia, embolismo aéreo o malposición del catéter y complicaciones tardías entre estas la estenosis venosa, trombosis venosa, la migración de catéter, la perforación miocárdica o el daño nervioso plantean un nuevo reto para la medicina actual. Este artículo describe las complicaciones, el manejo respectivo de cada una y estrategias para reducir la incidencia de las mismas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The use of central venous catheter in clinical practice has emerged as a vascular access option in patients with prolonged hospital stays due to various pathologies of the new epidemiological spectrum. This is called an access to the bloodstream at the central level for the administration of medications and among other functions. There are several types of central venous catheters, depending on the patient's need so the one chosen is chosen. However, infections due to the use of such invasive instruments, as well as other non-infectious complications divided into immediate ones such as arterial puncture, bleeding, pneumothorax or hemothorax, arrhythmia, air embolism or catheter malposition and late complications between them venous stenosis, venous thrombosis, catheter migration, myocardial perforation or nerve damage pose a new challenge for current medicine. During this article it is presented as well as the complications, the respective management of each one is described and how to reduce their incidence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Catéteres Venosos Centrales]]></kwd>
<kwd lng="es"><![CDATA[Infecciones Relacionadas con Catéteres]]></kwd>
<kwd lng="es"><![CDATA[Bacteriemia]]></kwd>
<kwd lng="es"><![CDATA[Prevención Secundaria]]></kwd>
<kwd lng="es"><![CDATA[Catéteres]]></kwd>
<kwd lng="en"><![CDATA[Central Venous Catheters]]></kwd>
<kwd lng="en"><![CDATA[Catheter-Related Infections]]></kwd>
<kwd lng="en"><![CDATA[Bacteremia]]></kwd>
<kwd lng="en"><![CDATA[Secondary Prevention]]></kwd>
<kwd lng="en"><![CDATA[Catheters]]></kwd>
</kwd-group>
</article-meta>
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