Práticas de manejo do cateter central de inserção periférica em uma unidade neonatal

Abstract

The study aimed to describe the management of Peripherally Inserted Central Catheters insertion in neonates admitted at a neonatal intensive care unit of a private hospital, after implementation of the institutional protocol. An exploratory, quantitative descriptive study with prospective data collection was carried out. Data of 45 catheters insertion were analyzed. The rate of catheter's with elective removal was 63.8%, and catheter's complications rate was 30.8%. The most frequently complications were rupture (15.4%), occlusion (11%) and accidental dislodgement (4.4%). No records about the catheter dressings were observed in 33% of catheter's insertion. One conclude that the complications were related to care practices of the catheter, requiring professional training and new tools to record the care provided in relation to the catheter's management.

Practice of Insertion, Maintenance and Removal of Peripheral Inserted Central Catheter in Neonates / Práticas de Inserção, Manutenção e Remoção do Cateter Central de Inserção Periférica em Neonatos

“…Considering the newborns' characterization (Table 1), there was a predominance of newborns (51.1%), who were born with gestational age between 28 and 36.6% (93%), with a average of 31.1 weeks (SD: 3.9, the minimum was 24.5 and the maximum 41.1), the weight between 1,000 and 1,499 g (35%), and below 1,000 g (32.1%), suitable for gestational age (67.9%), where the main diagnosis was the prematurity (87.6%). With regards to the characterization of the neonates still, in relation to the variables gestational age, birth weight and clinical diagnosis of hospitalization, the results found in this study corroborate with that described in the literature, [3][4]7,9 since the NICU researched is linked to the referral maternity from a university hospital and has high risk gestation cases.…”

“…Some authors report values for the central position above that found in this study, in relation to the tip position. 2,9 It is worth noting that the professionals of the research unit do not use standardization to determine the position of the tip, therefore, this classification can occur subjectively.…”

O conhecimento do enfermeiro sobre cateter central de inserção periférica: estudo descritivo

“…Essa infecção ocorre pela presença de microrganismos na ponta do cateter e na hemocultura (8) . Portanto, é fundamental ter conhecimento de que a maioria das infecções relacionadas ao cateter, resultam da contaminação do hub (canhão), do lúmem do cateter ou da solução infundida (16) , cabendo à equipe de saúde a responsabilidade pelas ações preventivas dessa infecção, visto que seu papel é fundamental no manuseio dos dispositivos intravenosos. Por isso, a ANVISA recomenda que todos os profissionais que lidam com o referido dispositivo tenham capacitação de alto nível, educação permanente, treinamento específico e avaliação sobre os conhecimentos das diretrizes institucionais voltadas para a prevenção, para o cuidado ético e para a segurança do processo assistencial.…”

Cateter central de inserção periférica em neonato: revisão integrativa da literatura Central catheter of peripherally insertion in neonates: integrative literature review

“…14,[49][50][51] The most used type of silicone catheter was mono lumen. 10,14,49,51 Most punctured venous catheters were located in upper limbs, especially the basilic vein, and then the cephalic.…”