Adverse Events Related to the Use of Central Venous Catheters in Hospitalized Newborns

Franceschi, Alessandra Tomazi; Cunha, Maria Luzia Chollopetz da

doi:10.1590/s0104-11692010000200009

Cited by 31 publications

(32 citation statements)

References 11 publications

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“…In this study, the incidence of non-elective removal was similar to other studies conducted in different facilities, which ranged from 31.7% (13) to 47.7% (14) . However, the present study found that the main reasons for non-elective removal were different among the three possible segments of PICC insertion.…”

Section: Discussionsupporting

confidence: 88%

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Paiva

Costa

Kimura

et al. 2013

Rev. esc. enferm. USP

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RESUMOObjetivou-se descrever a incidência e as razões de remoção não eletiva do cateter epicutâneo em neonatos, verificando a associação com o sítio de inserção. Estudo de coorte prospectivo realizado em unidade de cuidado intensivo neonatal de um hospital privado terciário na cidade de São Paulo. Foram analisadas 266 inserções de cateter epicutâneo. A incidência de remoção não eletiva foi 39,1%. As complicações pós-inserção mais frequentes foram suspeita de infecção de corrente sanguínea relacionada ao cateter (25%) e ruptura (23,1%). A maioria dos cateteres foi inserida através do hemisfério corporal direito (65%), membros superiores (77,1%) e veias axilares (31,2%). Os resultados sugerem não haver associação entre a incidência de remoção não eletiva e o sítio de inserção do cateter epicutâneo em neonatos. Compete à Enfermagem implementar estratégias para a melhoria da prática assistencial a fim de diminuir a frequência de remoções não eletivas do cateter epicutâneo em neonatos. DESCRITORES Recém-nascido Cateterismo venoso central Enfermagem neonatal ABSTRACTThis study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheterrelated bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates. DESCRIPTORS Infant, newborn Catheterization central venous Neonatal nursing RESUMENEl objetivo fue describir la incidencia y las razones del retiro no electivo del catéter epicutáneo en neonatos, verificando la asociación con el sitio de inserción. Estudio de cohorte prospectiva conducido en una unidad de cuidados intensivos neonatales de un hospital privado terciario, en la ciudad de São Paulo, Brasil. Fueron analizados 266 inserciones de catéteres. La incidencia de retiro no electivo del catéter epicutáneo fue de 39,1%. Las complicaciones post-inserción más frecuentes fueron la sospecha de infección del torrente sanguíneo relacionada al catéter (25%) y ruptura (23,1%). La mayoría de los catéteres fueron insertados en el hemisferio corporal derecho (65%), en la extremidad superior (77,1%) y en la vena axilar (31,2%). Los resultados sugieren no haber asociación entre el sitio de inserción del catéter y la incidencia del retiro no electivo. Es de competencia de Enfermería implementar estrategias par...

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Section: Discussionsupporting

confidence: 88%

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Paiva

Costa

Kimura

et al. 2013

Rev. esc. enferm. USP

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“…However, the complications that occurred most frequently among the catheters non--electively removed were obstruction in 9 (9.3%) PICCs, and suspected bloodstream infection related to the catheter also in 9 (9.3%) PICCs. Similar findings were found in a descriptive study that aimed to identify adverse events related to central venous catheters in hospitalized newborns, showing that the PICC obstruction occurred in 19.44% of 216 catheters inserted, and suspected infection in 2.8% (15) .…”

Section: Discussionsupporting

confidence: 84%

Intravenous therapy and non-elective removal of epicutaneous catheters: a cohort study of neonates

Costa

Silva

Kimura

2014

Online Brazilian Journal of Nursing

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Aim: To investigate the association between intravenous therapy and the incidence of non-elective removal of silicone single-lumen catheters installed in newborns. Method: this was a prospective cohort study, conducted in a neonatal intensive care unit of a private hospital of São Paulo. The sample was composed of 97 epicutaneous catheters, 15 of them used for single intravenous therapy and 82 indicated for multiple intravenous therapy. Results: The incidence of non-elective removal was 26.7% in single infusate catheters and 36.5% in multiple intravenous infusion catheters, with no statistically significant difference being noted (p = 0.33). Complications such as limb edema and extravasation occurred only in multiple IV infusion catheters. Conclusion: We recommend the adoption of strategies for prevention, early detection and prompt treatment of complications that result in non-elective removal of epicutaneous catheters, regardless the intravenous therapy type.

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“…Adverse events related to the use of central intravascular devices are frequent among the neonatal and pediatric populations; therefore, it is essential to evaluate those events in order to indicate the aspects of care that could be improved so as to provide safer care (17) .…”

Section: Discussionmentioning

confidence: 99%

O processo do cateterismo venoso central em Unidade de Terapia Intensiva Neonatal e Pediátrica

Gomes

Nascimento

2013

Rev. esc. enferm. USP

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Estudo descritivo, longitudinal e abordagem quantitativa, que objetivou analisar e discutir o processo do cateterismo venoso central nas Unidades de Terapia Intensiva neonatal e pediátrica; descrever as variáveis relacionadas à caracterização da população do estudo (unidade de internação, faixa etária e sexo) e descrever as variáveis relacionadas ao processo do cateterismo venoso central (tipo de cateter, motivo de indicação, número de lumens, sítio de inserção, profissional que realizou o procedimento, terapêutica medicamentosa infundida via cateter, motivo de retirada, tempo de permanência e as complicações mecânicas e infecciosas). A coleta de dados foi realizada em unidade de terapia intensiva neonatal e pediátrica, em 82 prontuários. As indicações dos cateteres foram, em sua maioria, para infusão medicamentosa prolongada e Nutrição Parenteral Total. A remoção foi indicada predominantemente por complicações mecânicas e infecciosas. Esse estudo viabilizou rever a prática assistencial para estabelecer o aprimoramento da assistência prestada à clientela neonatal e pediátrica.

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Adverse Events Related to the Use of Central Venous Catheters in Hospitalized Newborns

Cited by 31 publications

References 11 publications

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Causas de remocao nao eletiva do cateter epicutaneo em neonatos

Intravenous therapy and non-elective removal of epicutaneous catheters: a cohort study of neonates

O processo do cateterismo venoso central em Unidade de Terapia Intensiva Neonatal e Pediátrica

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