Encuesta Nacional sobre la utilización de catéter venoso central en pacientes sometidos a neurocirugía electiva en Chile

Abstract

Objectives: To know, through an online survey, the usual clinical practice of Chilean anesthesiologists regarding central venous catheterization in patients undergoing elective neurosurgery. Material and Methods: An email was sent with a link to a questionnaire to anesthesiologists belonging to the Society of Anesthesiology of Chile (SACH). The questionnaire consisted of an anonymous questionnaire, with multiple-choice questions that included data referring to experience as an anesthesiologist, experience in neuroanesthesia, indication of central venous access in elective neurosurgery, access of choice, technique used, and immediate and late complications. results: A valid response was received to the online survey by 180 anesthesiologists, which represents a response rate of 50%. Only 14.4% of the respondents were classified as specialists in neuroanesthesia. The majority acces corresponded to the Internal Jugular. The main indication was the use of vasoactive drugs in 92.18%. Regarding clinical scenarios, 95.4% of respondents used a central venous route in posterior fossa surgery, while only 9.41% used it in minimally invasive surgery. 69.3% of the respondents indicated that they had presented an immediate complication related to the procedure, with arterial puncture being the most frequent with 72.1%. Protocols for perioperative management only existed in 17.8% of cases. There are no significant differences in the usual clinical practice among specialists in neuroanesthesia and general anesthesiologists in most of the items analyzed.

Preventing ‘Clouded’ Titles in Previously Informal Settlements. The Administrative and Judicial Transmission of Property

“…Through the study we were able to detail the main reasons why most people say that no will is made; and identify which of these are also linked to misunderstandings, a lack of information, or misinformation. It is worth mentioning that several of the reasons described below coincide with the reasons given by the population at the national level (Ortega and Maldonado, ): Laziness and complacency . Along with the following, this is one of the main reasons interviewees gave for not making a will; 30 percent of people had been thinking of doing it but, they say, they forgot. Family conflicts .…”

“…However, in Mexico a lack of foresight with regard to the bequeathing of assets has been a common feature throughout the twentieth and early twenty‐first centuries. A national survey found that eight out of ten Mexicans die without making a will (Ortega and Maldonado, ) and the National Association of Mexican Notaries provides a similar figure, confirming that the problem of intestate property really is widespread, since almost 90 percent of those who could make a will do not have one (El Universal, ). In the study conducted in the Guadalajara metropolitan area, we found that 86 percent of people in consolidated low‐income settlements do not make a will.…”