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Incidence of nonelective removal of percutaneously inserted central catheters according to tip position in neonates.
Costa, Priscila; Bueno, Mariana; Alves, Angelina Maria Aparecida; Kimura, Amélia Fumiko.
Afiliação
  • Costa P; Department of Maternal-Child and Psychiatric Nursing, School of Nursing, University of São Paulo, São Paulo, Brazil. priscila2.costa@usp.br
J Obstet Gynecol Neonatal Nurs ; 42(3): 348-56, 2013.
Article em En | MEDLINE | ID: mdl-23578011
OBJECTIVE: To compare the incidence and reasons for nonelective removal of percutaneously inserted central catheters (PICC lines) between centrally and noncentrally placed PICC lines in neonates. DESIGN: Prospective cohort study. SETTING: A 60-bed, tertiary-level neonatal intensive care unit in a private hospital in São Paulo, Brazil. PARTICIPANTS: Neonates who were born at the hospital and underwent successful insertion of 237 PICC lines. They were divided into two groups, central and noncentral, according to tip position. METHODS: Neonates were monitored daily from insertion of the PICC until its removal. Data were collected from medical records. RESULTS: Of the 237 PICCs analyzed, 207 (87.4%) had their tip in a central position and 30 (12.6%) in a noncentral position. The incidence of nonelective PICC removal was similar between the central and noncentral groups (p = .48). The reasons for nonelective removal were significantly different between the groups (p = .007), with a higher incidence of extravasation in the noncentral group. CONCLUSION: Noncentrally placed PICCs can provide vascular access in neonates requiring venous access for the administration of intravenous solutions. Many potential catheter-related complications can be prevented by careful bedside nursing. Frequent monitoring of noncentral PICCs is necessary to detect and prevent extravasation in neonates.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateterismo Venoso Central / Cateterismo Periférico / Enfermagem Neonatal / Remoção de Dispositivo / Infecções Relacionadas a Cateter / Catéteres Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Obstet Gynecol Neonatal Nurs Assunto da revista: ENFERMAGEM / GINECOLOGIA / OBSTETRICIA / PERINATOLOGIA Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cateterismo Venoso Central / Cateterismo Periférico / Enfermagem Neonatal / Remoção de Dispositivo / Infecções Relacionadas a Cateter / Catéteres Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: J Obstet Gynecol Neonatal Nurs Assunto da revista: ENFERMAGEM / GINECOLOGIA / OBSTETRICIA / PERINATOLOGIA Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos