Use of peripherally inserted central catheter in a neonatal unit: a descriptive study

Abstract

Aim:  analyze  the  use  of  peripherally  inserted  central  catheter  in terms of the aspects of technique, positioning and maintenance, as well as the influence on the number of venous dissections in hospitalized infants in a neonatal unit. Method: descriptive,  retrospective,  quantitative  study,  in  reference  maternity  unit  of  a  city  in northeastern  Brazil.  Sample  composed  of  1,599  peripherally  inserted  central  catheter insertions in 1,204 infants during the years 2006 to 2013. Instruments were used that recorded  aspects  of  the  insertion  of  peripherally  inserted  central  catheter  and  venous dissection.  Results:  most  babies  were  premature,  of  low  birth  weight  and  male.  The veins  of  the  cubital  region  were  the  most  punctured  with  insertion  success  until  the fourth  puncture.  The  central  positioning  of  the  catheter  tip predominated,  with  a permanency  time  between  11  and  20  days,  removing  it  at  the  end  of  the  treatment. Over  the  years,  the  number  of  venous  dissections  was  inversely  proportional  to  the insertion  of  peripherally  inserted  central  catheter.  Conclusion:  this  transvenous  device was  shown  to  be  important  for  the  treatment  of  hospitalized  newborns,  favoring reduction of venous dissections.
https://doi.org/10.17665/1676-4285.20165420
HTML
EPUB
HTML (Português (Brasil))
PDF (Português (Brasil))
HTML (Español (España))
EPUB (Español (España))
EPUB (Português (Brasil))
PDF
PDF (Español (España))

References

Silva AM, Matuhara AM, Vicentin AH, Machado AF, Freitas CB, Silva CPR, et al. Diretrizes práticas para terapia infusional. São Paulo: INS; 2013.

Oliveira CR, Neve ET, Rodrigues EC, Zamberlan KC, Silveira A. Peripherally inserted central catheter in pediatrics and neonatology: Possibilities of systematization in a teaching hospital. Esc Anna Nery. 2014; 18(3):379-85.

Ministério da Saúde (BR). Conselho Nacional de Saúde. Resolução n° 196, de 10 de outubro de 1996.

Costa P, Silva MN, Kimura AF. Intravenous therapy and non-elective removal of epicutaneous catheters: a cohort study of neonates. Online Braz J Nurs [Internet]. 2014[cited 2015 Jul 28]; 13(2):129-38. Available from: http://www.objnursing. uff.br/index.php/nursing/article/view/4572

O'Grady NP, Alexander M, Burns LA, Dellinger P, Garland J, Heard SO, et al. Guidelines for the prevention of intravascular catheter-related infections. [Internet]. 2011[cited 2015 Jul 28]. Available from: http://www.cdc.gov/hicpac/pdf/guidelines/bsi-guidelines-2011.pdf

Daneman N, Downing M, Zagorski BM. How long should peripherally inserted central catheterization be delayed in the context of recently documented bloodstream infection? J Vasc Interv Radiol. 2012; 23(1):123-5.

Negri DC, Avelar AFM, Andreoni S, Pedreira MLG. Predisposing factors for peripheral intravenous puncture failure in children. Rev Latino-Am Enfermagem. 2012; 20(6):1072-169.

Cicolini G, Manzoli L, Simonetti V, Flacco ME, Comparcini D, Capasso L, et al. Phlebitis risk varies by peripheral venous catheter site and increases after 96 hours: a large multi-centre prospective study. J Adv Nurs. 2014; 70(11):2539-49.

Uygun I, Okur MH, Otcu S, Ozturk H. Peripherally inserted central catheters in the neonatal period. Acta Cirúrgica Brasileira. 2011; 26(5):404-11.

Uchida Y, Sakamoto M, Takahashi H, Matsuo Y, Funahashi H, Sasano H, et al. Optimal prediction of the central venous catheter insertion depth on a routine chest x-ray. Nutrition. 2011; 27(5):557-60.

Johnston AJ, Bishop M, Martin L, See TC, Streater CT. Defining peripherally inserted central catheter tip position and an evaluation of insertions in one unit. Anaesthesia. 2013; 68(5):484-91.

Mingorance P, Johann DA, Lazzari LSM, Pedrolo E, Oliveira GLR, Danski MTR. Complications of peripherally inserted central catheter (PICC) in neonates. Cienc Cuid Saúde. 2014; 13(3):433-8.

Giangregorio M, Mott S, Tong E, Handa S, Gauvreau K, Connor JA. Management of Peripherally Inserted Central Catheters (PICC) in Pediatric Heart Failure Patients Receiving Continuous Inotropic Support. J Pediatr Nurs. 2014; 29(4):3-9.

Schallom ME, Prentice D, Sona C, Micek ST, Skrupky LP. Heparin or 0.9% sodium chloride to maintain central venous catheter patency: A randomized Trial. Care Med 2012; 40(6).

Macedo AA, Oliveira BGRB, Kang HC, Carvalho MR. The action of Vitamin C in the coagulation process: an experimental in vitro study. OBJN. 2010: 9(1).

Brachine JDP, Peterlini MAS, Pedreira MLG. Care bundle to reduce central venous catheter-related bloodstream infection: an integrative review. Rev Gaúcha Enferm. 2012; 33(4):200-10.

Aycan IO, Celen MK, Yilmaz A, Almaz MS, Dal T, Celik Y, Bolat E. Bacterial colonization due to increased nurse workload in an intensive care unit. Rev Bras Anestesiol. 2015; 65(3):180-5.

Gomes AVO, Nascimento MAL, Silva LR, Santana KCL. Efeitos adversos relacionados ao processo do cateterismo venoso central em unidade intensiva neonatal e pediátrica. Rev. Eletr. Enf. [Internet]. 2012; 14(4):883-92.

Menezes SO, Gomes MASM, Lamy Filho F. Management of vascular access in very low birth weight newborns admitted to public neonatal intensive care units in municipality of Rio de Janeiro. [portuguese]. Rev Pesq Saúde. 2013; 14(1):11-5.

Paiva ED, Kimura AF, Costa P, Magalhães TEC, Toma E, Alves AMA. Complications related to the type of epicutaneous catheter in a cohort of neonates. Online braz j nurs. [Internet]. 2013; 12(4):942-52.