Complicações da cateterização arterial em crianças

Souza, N. de; Carvalho, A.C.C.; Carvalho, Werther Brunow de; Souza, Renato Lopes de; Oliveira, Nara Rejane Cruz de

doi:10.1590/s0104-42302000000100006

Cited by 4 publications

(3 citation statements)

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“…The main complications of arterial puncture are bleeding, bruising, peripheral ischemia and pain. ( 20 - 22 )…”

Section: Discussionmentioning

confidence: 99%

Assessment of newborn pain during arterial puncture: an observational analytical study

Alberice¹,

Silva²,

Costa³

et al. 2021

Revista Brasileira De Terapia Intensiva

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Objetivo Avaliar a intensidade de dor durante a punção arterial realizada em recém-nascidos internados em uma unidade de cuidados progressivos neonatais e avaliar a percepção do profissional em relação à dor neonatal. Métodos Estudo observacional analítico, em que foram observadas 62 punções arteriais realizadas em 35 neonatos. Avaliou-se a dor durante a coleta pela escala Premature Infant Pain Profile . Os profissionais responsáveis pela coleta avaliaram a dor pela escala numérica verbal de zero a dez. Os dados foram submetidos à análise estatística descritiva por meio do programa Statistical Package for the Social Science . Resultados Entre os recém-nascidos, 30,6% (n = 19) não tiveram dor ou tiveram dor leve (0 - 6), 24,2% (n = 15) apresentaram dor leve a moderada (7 - 11) e 45,2% (28) dor intensa (12 - 21). Constatou-se que os profissionais identificam a dor durante o procedimento. Conclusão A punção arterial é considerada um procedimento doloroso e pode resultar em dor leve a intensa, sendo necessária a adoção de estratégias sistematizadas de avaliação, possibilitando a intervenção terapêutica adequada.

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“…The main complications of arterial puncture are bleeding, bruising, peripheral ischemia and pain. ( 20 - 22 )…”

Section: Discussionmentioning

confidence: 99%

Assessment of newborn pain during arterial puncture: an observational analytical study

Alberice¹,

Silva²,

Costa³

et al. 2021

Revista Brasileira De Terapia Intensiva

View full text Add to dashboard Cite

show abstract

“…Some authors demonstrated a low complication rate, with only 3% of catheter occlusion when using a heparin solution continuously, at 3mL/h ( 26 ) . A study performed with adult patients reported no difference in patency of the catheters when comparing maintenance with normal saline at 0.9% and saline solution at 0.9% with heparin, but found differences in the accuracy of the values of blood pressure measurement, and the most accurate values were observed in the group using heparin ( 28 ) . In children from 1 month to 2 years old catheterized in the radial artery and connected to a device with a continuous infusion, at 3mL/h with heparinized isotonic saline at 1IU heparin / mL, there was a higher number of haemorrhage and ischemia in the first 72 hours ( 29 ) .…”

Section: Discussionmentioning

confidence: 99%

“…Alguns autores demonstraram baixo índice de complicações, com apenas 3% de oclusão do cateter ao se usar a solução de heparina de forma contínua, a 3mL/hora ( 26 ) . Estudo realizado com pacientes adultos não relatou diferença de permeabilidade dos cateteres ao comparar a manutenção com solução fisiológica normal a 0,9% e solução fisiológica 0,9% com heparina, mas encontrou diferenças quanto à acurácia dos valores da medida da pressão arterial, sendo os mais precisos no grupo que utilizou heparina ( 28 ) . Em crianças entre um mês e dois anos, cateterizadas na artéria radial e conectadas a um dispositivo com fluxo contínuo de infusão a 3mL/hora com solução salina isotônica heparinizada a 1UI heparina/mL, observou-se maior número de hemorragia e isquemia nas primeiras 72 horas ( 29 ) .…”

Section: Discussionunclassified

Lack of difference between continuous versus intermittent heparin infusion on maintenance of intra-arterial catheter in postoperative pediatric surgery: a randomized controlled study

Witkowski

Moraes

Firpo

2013

Rev. paul. pediatr.

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OBJECTIVE: To compare two systems of arterial catheters maintenance in postoperative pediatric surgery using intermittent or continuous infusion of heparin solution and to analyze adverse events related to the site of catheter insertion and the volume of infused heparin solution. METHODS: Randomized control trial with 140 patients selected for continuous infusion group (CIG) and intermittent infusion group (IIG). The variables analyzed were: type of heart disease, permanence time and size of the catheter, insertion site, technique used, volume of heparin solution and adverse events. The descriptive variables were analyzed by Student's t-test and the categorical variables, by chi-square test, being significant p<0.05. RESULTS: The median age was 11 (0-22) months, and 77 (55%) were females. No significant differences between studied variables were found, except for the volume used in CIG (12.0±1.2mL/24 hours) when compared to IIG (5.3±3.5mL/24 hours) with p<0.0003. CONCLUSIONS: The continuous infusion system and the intermittent infusion of heparin solution can be used for intra-arterial catheters maintenance in postoperative pediatric surgery, regardless of patient's clinical and demographic characteristics. Adverse events up to the third postoperative day occurred similarly in both groups. However, the intermittent infusion system usage in underweight children should be considered, due to the lower volume of infused heparin solution [ClinicalTrials.gov Identifier: NCT01097031].

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Cardiac Anesthesia

Horst¹,

Jooste²,

Callahan³

et al. 2020

Critical Care of Children With Heart Disease

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Complicações da cateterização arterial em crianças

Abstract: The main complications of this proceeding are related to the technic utilized, time of utilization of the catheter and to the characteristics of the patients.

Cited by 4 publications

References 0 publications

Assessment of newborn pain during arterial puncture: an observational analytical study

Assessment of newborn pain during arterial puncture: an observational analytical study

Lack of difference between continuous versus intermittent heparin infusion on maintenance of intra-arterial catheter in postoperative pediatric surgery: a randomized controlled study

Cardiac Anesthesia

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