Complicações relacionadas ao uso do cateter venoso periférico: ensaio clínico randomizado

Abstract

Objective: To analyze the complications deriving from the use and type of peripheral venous catheter in adults. Methods: Randomized clinical trial; undertaken at a teaching hospital between 2012 and 2015; 169 adults were included who were hospitalized at clinical and surgical services and needed peripheral venipuncture with an expected dwelling time of more than 96 hours. Through systemized randomization, 90 participants were allocated to the trial group (complete safety catheter) and 79 to the control group (short flexible catheter). Results: The general complications rate was 55.62%, with 18.34% of phlebitis, 11.83% infiltration, 11.24% obstruction and 9.47% traction. No significant difference was found between the groups for the occurrence of complications, phlebitis, obstruction and traction. Conclusion: The complication rate in peripheral venous catheterization was high but, when compared, without a statistically significant difference, the complete safety catheter showed lower complication rates after the fourth day of survival. ResumoObjetivo: Analisar as complicações decorrentes do uso e tipo de cateter venoso periférico em adultos. Métodos: Ensaio clínico randomizado; realizado em um hospital de ensino, no período de 2012 a 2015; incluiu-se 169 adultos internados em unidades clínicas e cirúrgicas que necessitaram de punção venosa periférica e com permanência prevista de mais de 96 horas. A randomização aleatória sistematizada alocou 90 participantes no Grupo Experimental (cateter de segurança completo) e 79 no Grupo Controle (cateter curto flexível). Resultados: A taxa geral de complicações foi 55,62%, houve 18,34% de flebite, infiltração 11,83%, obstrução 11,24% e tração 9,47%. Não houve diferença significativa entre os grupos para a ocorrência de complicações, flebite, obstrução e tração. Conclusão: A taxa de complicações no cateterismo venoso periférico foi alta, mas quando comparados, sem diferença estatística significativa, o cateter de segurança completo teve taxas menores de complicações após o quarto dia de sobrevida.Brazilian Clinical Trial Registers (ReBEC): RBR-46ZQR8

Ocorrência De Flebite Em Acesso Venoso

“…Pesquisa descritiva realizada na Turquia verificou 54,5% ocorrências de flebite e o Grau 1 foi o mais observado (18) . Em ensaio clínico randomizado realizado em um hospital de ensino, verificou-se os diferentes graus, sendo predominante o grau 1, seguida de grau 2 (19) .…”

Double-chamber syringe versus classic syringes for peripheral intravenous drug administration and catheter flushing: a study protocol for a randomised controlled trial

“…These invasive devices are inserted into patients' peripheral veins and enable the intravenous administration of fluids, blood products, and drugs directly into the bloodstream [1,2]. However, a wide range of complications can occur, such as mechanically induced complications (partial dislodgement or accidental removal, infiltration, extravasation, occlusion) [3][4][5][6][7][8][9][10][11][12][13], those of an infectious nature (bacterial or fungal sepsis) [7,8,10,12,14], or phlebitis [3][4][5]15].…”

Taxa De Incidência E O Uso Do Flushing Na Prevenção Das Obstruções De Cateter Venoso Periférico

“…Intravenous therapy is one of the most practiced clinical interventions in the hospital setting and implies nursing care that ensures treatment and quality of care. [1][2] Intravenous therapy involves a process that initiates with the choice of venous catheter according to the patient's characteristics, the prescribed therapy, the time of treatment, the nurse's skills, and the available material. It involves the catheter insertion, permeability, supervision, removal, and clinical assessment of the insertion site and adjacent areas after the catheter removal, in addition to patient preferences.…”