Analgesia e sedação durante a instalação do cateter central de inserção periférica em neonatos

Costa, Priscila; Bueno, Mariana; Oliva, Cintia Luiza; Castro, Talita; Camargo, Patrícia Ponce de; Kimura, Amélia Fumiko

doi:10.1590/s0080-623420130000400005

Cited by 17 publications

(21 citation statements)

References 19 publications

(26 reference statements)

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“…Despite the need to consider pain as the fifth vital sign, this practice is still little disseminated in health teams. Few hospitals have protocols for the evaluation of pain and non-pharmacological intervention to be conciliated with pharmacological therapy in the attempt to alleviate trauma and stress during hospitalization, especially when it comes to children (Costa et al, 2013;Costa et al, 2010). The articles in this study showed limited numbers related to the use of analgesia to perform the PICC insertion.…”

Section: Discussionmentioning

confidence: 86%

“…The nonpharmacological strategies were: sweetened solution (5 -2.0%) and sweetened solution + non -nutritive suction (1 -0.4%). There was no statistically significant difference between the group of neonates who received and those who did not receive any strategy for sedation or pain relief considering the number of punctures, time spent on catheter insertion, and positioning of the PICC tip (Costa et al, 2013).…”

Section: Nursing Care Related To Pain Managementmentioning

confidence: 84%

“…Five articles covered this category (Costa et al, 2013;Costa et al,2010;Onofre, Pereira &Peterlini, 2012;Fricke et al, 2005;Oliveira et al, 2014) that was divided into two subcategories: (1.1.) Nursing care related to pain management and (1.2.)…”

Section: Category 1: Nursing Care Using Picc Linesmentioning

confidence: 99%

“…Two articles reported about the measurement of pain and pain intervention during PICC insertion (Costa et al,2013;Costa et al,2010). The first article reported analgesic or sedative strategies adopted for the PICC insertion.…”

Section: Nursing Care Related To Pain Managementmentioning

confidence: 99%

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Knowledge and Care related to Peripherally Inserted Central Catheter (PICC) in Pediatrics and Neonatology Nursing: an Integrative Review

Nunes¹,

Ferreira²,

Silva-Rodrigues³

et al. 2016

IJN

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Peripherally Inserted Central Catheters (PICC) have been used for decades in diverse settings. The aim of this study was to review the literature regarding the knowledge and care related to PICC lines in Pediatrics and Neonatology. An integrative literature search of studies published between 2005 and 2015 was conducted in Pubmed, Web of Science, CINAHL, LILACS, and SciELO using the terms in different combinations: newborn, child, neonatal intensive care, pediatric intensive care, peripherally inserted central catheter, PICC, and nursing. Ten studies were reviewed, most of them conducted by Brazilian nurses. The results were summarized in two thematic categories: (1) Nursing care using PICC lines, and (2) Nursing clinical practice related to the use of PICC lines. Few studies reported the care and practices of using PICC in neonatology and pediatric settings in the last ten years. The use of new technologies has contributed significantly to the increasing number of PICC insertions with decreased patients' risks. The results of this study also highlighted the limitations of nursing knowledge about PICC line care. Therefore, updated activities and knowledge acquisition are essential for nurses in order to establish guidelines for the use of this device in Neonatology and Pediatrics

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Section: Discussionmentioning

confidence: 86%

Section: Nursing Care Related To Pain Managementmentioning

confidence: 84%

Section: Category 1: Nursing Care Using Picc Linesmentioning

confidence: 99%

Section: Nursing Care Related To Pain Managementmentioning

confidence: 99%

See 2 more Smart Citations

Knowledge and Care related to Peripherally Inserted Central Catheter (PICC) in Pediatrics and Neonatology Nursing: an Integrative Review

Nunes¹,

Ferreira²,

Silva-Rodrigues³

et al. 2016

IJN

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“…O tempo de inserção de seis cateteres variou entre 5 e 10 minutos; de quatro entre 15 e 30 minutos; de três entre 40 e 60 minutos e para um cateter o tempo de inserção foi superior a 1 hora (42) . Costa et al (43) obtiveram em seu estudo a média de 2,7 punções venosas para o êxito do procedimento, sendo o tempo médio despendido para a insertação do cateter de 37,6 minutos (43) . al.…”

Section: Apresentação Dos Resultadosunclassified

Custo direto da passagem de cateter central de inserção periférica por enfermeiros em Unidade de Terapia Intensiva Pediátrica e Neonatal

Pires¹

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A Deus por preparar o meu caminho, por me amparar diante das dificuldades e por me oferecer o que eu preciso no momento adequado. Ao Prof. Dr. Antonio Fernandes Costa Lima, meu orientador e amigo, pelos ensinamentos, pela condução e apoio neste trabalho. Que compartilhou seu conhecimento e me guiou nesta trajetória com sabedoria e compreensão, diante dos momentos difíceis e imprevistos apresentados pela vida e juntos alcançamos esta conquista. A Profª. Drª. Valéria Castilho pelos nobres ensinamentos compartilhados durante o desenvolver deste trabalho, que contribuíram para sua construção. A todos os profissionais do Hospital Universitário da USP que estiveram direta ou indiretamente envolvidos com este trabalho e que possibilitaram um excelente campo de estudo, favorecendo a conclusão desta pesquisa.A toda a equipe de enfermagem da Unidade de Terapia Intensiva do Hospital Universitário da USP, meus colegas de profissão e amigos, por aceitarem participar desta pesquisa, por me ajudarem a coletar os dados e por me oferecerem apoio em cada fase do trabalho. Sem o auxílio de vocês este estudo não seria possível! À chefe de seção e também amiga, Profª. Fabiana Pereira das Chagas Vieira, que me apoiou desde o início desta trajetória, quando ainda se tratava apenas de uma expectativa incipiente. Obrigada pelas palavras de apoio e entusiasmo e pelas ações proativas para a execução de cada fase deste trabalho. Aos meus colegas de trabalho e amigos, Edson Luís Tenca e Luciana GomesSantos, que me auxiliaram na execução desta pesquisa por meio da promoção de dados referentes ao campo de estudo e não mediram esforços para me ajudar.

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Complications associated with peripherally inserted central catheters in paediatric cardiac patients

2022

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Objectives: To characterise the use of peripherally inserted central catheters in paediatric cardiac patients and to identify risk factors associated with their complications. Materials and Methods: Observational retrospective cohort study in paediatric cardiac patients who underwent peripherally inserted central catheter placement in a tertiary children’s hospital from January 2000 to June 2018. Results: 1822 cardiac patients underwent 2952 peripherally inserted central catheter placements in the study period. Median age was 29 days, with survival to hospital discharge of 96.4%. Successful placement achieved 94.5% of attempts, with a median line duration of 12 days. Factors associated with successful placement were the use of general anaesthesia (odds ratio 7.52, p < 0.001) and year of placement (odds ratio 1.08, p < 0.001). The incidence of complications was 28.6%, with thrombosis/occlusion being the most frequent (33%). Thrombosis/occlusion were associated with two and three lumens (odds ratio 1.96, p < 0.001 and 4.63, p = 0.037, respectively). Lines placed by interventional radiology had decreased infiltration (odds ratio 0.20, p = 0.002) and lower migration/malposition (odds ratio 0.36, p < 0.001). The use of maintenance intravenous fluids (odds ratio 3.98, p = 0.008) and peripheral tip position (odds ratio 3.82, p = 0.001) were associated with increased infiltration. The probability of infection decreased over time (odds ratio 0.79, p < 0.001). Conclusion: Peripherally inserted central catheters in paediatric cardiac patients have complication rates similar to other paediatric populations. A prospective assessment of the factors associated with their complications in this patient population may be beneficial in improving outcomes.

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Analgesia e sedação durante a instalação do cateter central de inserção periférica em neonatos

Cited by 17 publications

References 19 publications

Knowledge and Care related to Peripherally Inserted Central Catheter (PICC) in Pediatrics and Neonatology Nursing: an Integrative Review

Knowledge and Care related to Peripherally Inserted Central Catheter (PICC) in Pediatrics and Neonatology Nursing: an Integrative Review

Custo direto da passagem de cateter central de inserção periférica por enfermeiros em Unidade de Terapia Intensiva Pediátrica e Neonatal

Complications associated with peripherally inserted central catheters in paediatric cardiac patients

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