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Síncope vasovagal durante la canulación de la vena yugular interna guiada por ultrasonido: reporte de un caso
Xiulian Wang1, Qing Sun2, Guopeng Deng1
1Department of Anesthesiology, WeiFang People's Hospital, 151th, Guangwen Road, Weifang, 261041, China.
International journal of surgery case reports
|January 16, 2026
Resumen
El síncope vasovagal (SVV), una complicación rara durante la cateterización de la vena yugular interna, requiere un reconocimiento y manejo rápidos. Este caso destaca la importancia de la vigilancia y la intervención inmediata para la seguridad del paciente.
Área de la Ciencia:
- Procedimientos Médicos
- Cardiología
- Neurología
Sus antecedentes:
- El síncope vasovagal (SVV) implica una activación vagal excesiva e inhibición simpática, lo que causa bradicardia, hipotensión y pérdida transitoria de la conciencia.
- El SVV durante la cateterización de la vena yugular interna guiada por ultrasonido se informa con poca frecuencia, pero presenta riesgos si no se maneja de manera oportuna.
Objetivo del estudio:
- Informar sobre un caso de SVV durante la cateterización de la vena yugular interna guiada por ultrasonido.
- Enfatizar la importancia de identificar y manejar el SVV en este entorno clínico.
- Discutir las estrategias preventivas para el SVV durante procedimientos invasivos.
Principales métodos:
- Reporte de caso de un hombre de mediana edad que experimentó SVV durante la cateterización de la vena yugular interna derecha guiada por ultrasonido.
- Cese inmediato del procedimiento, reanimación con líquidos y administración de efedrina.
- Diagnóstico diferencial para excluir otras causas de síncope.
Principales resultados:
- El paciente presentó pérdida súbita de la conciencia, palidez, sudoración y caídas significativas en la frecuencia cardíaca y la presión arterial.
- Se logró una recuperación rápida después de la intervención inmediata.
- Se confirmó el SVV como la causa después de excluir otras etiologías potenciales.
Conclusiones:
- El SVV es una consideración crítica durante la cateterización de la vena yugular interna guiada por ultrasonido.
- La vigilancia y el manejo de emergencias rápido son esenciales para prevenir eventos adversos.
- Se necesitan estrategias mejoradas de prevención y tratamiento para el SVV en este contexto.
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