Localização inicial da ponta de cateter central de inserção periférica (PICC) em recém-nascidos

Abstract

Estudo transversal com coleta prospectiva de dados, que objetivouidentificar o posicionamento inicial da ponta do cateter central de inserção periférica (PICC) e verificar a prevalência de sucesso de sua inserção em neonatos. Os dados foram coletados no berçário anexo à maternidade do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, entre março e setembro de 2006. Dos 37 neonatos submetidos à inserção do cateter PICC, a taxa de sucesso no procedimento foi de 72,3% (27 neonatos); destes, quatro (14,8%) estavam com as pontas dos cateteres alojadas nas veias axilar ou inominada; outros três (11,1%), alojadas em veia jugular. Estes cateteres foram removidos por desvio de trajeto. 13 (48,2%) estavam com as pontas alojadas em átrio direito, cujos cateteres foram tracionados para reposicionamento da ponta para a veia cava superior.

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

“…10,14,49,51 Most punctured venous catheters were located in upper limbs, especially the basilic vein, and then the cephalic. 4,6,10,14,49 The positioning of the catheter tip, visualized by radiography, predominated in central location, especially in the superior vena cava. 10,14,49,51 ).…”

“…The predominant removal reason was the completion of the proposed therapy for the indication of PICC, followed by events and complications. 4,6,14,47,49 It was concluded that the evidence found on the characteristics of the use of PICC presents homogeneity despite being studies of different institutions and realities.…”

“…[2][3] Currently an alternative widely used in a stable and effective venous access for newborns critically ill in NICUs is Central Catheter of Peripheral Insertion (PICC), so that the catheter is long and flexible, inserted through a peripheral vein, it progresses to the distal third of the cava vena -superior or inferior, thus gaining access for the central venous. [4][5][6][7] However, the use of this device is associated with some complications that can occur during insertion, maintenance and removal, but often less frequent than other catheters of central location. [8][9][10] Despite its benefits, the use of PICC is a complex process that requires technical and scientific knowledge specific to their insertion and maintenance, requiring skilled professionals and employing safe procedures and technologies to minimize side effects while using this device.…”

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

“…Five articles were included in this category (Rodrigues, Chaves & Cardoso, 2006;Baggio, Bazzi & Bilibio, 2010;Camargo et al, 2008;Vendramim, Mavilde & Peterlini, 2007;Delarbre et al, 2014) concerning the use of PICC lines in newborns and children, common practice and strategies, complications associated with its use, and main challenges for the nursing team. The first study evaluated the performance of neonatal nurses in the care of PICC lines.…”

“…Amongst the 37 neonates, the success rates were 72.3% (27 newborns); 14.8% (4) had the catheter placed in the auxiliary veins and 11.1% (3) in the jugular vein; these devices had to be removed due to incorrect placement. Thirteen devices (4.2%) had their tip placed in the right atrium; hence they were retracted and repositioned in the superior cava vein (Camargo et al, 2008). The fourth article described the utilization and influences of institutional characteristics when considering PICC line insertion.…”