Efeitos adversos relacionados ao processo do cateterismo venoso central em unidade intensiva neonatal e pediátrica

Gomes, Aline Verônica de Oliveira; Nascimento, Maria Aparecida de Luca; Silva, Leila Rangel da; Santana, Keli de Cássia Luiz de

doi:10.5216/ree.v14i4.14432

Cited by 6 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These devices allow continuous administration of intravenous fluids and medications, parenteral nutrition, hemodynamic monitoring, and in some cases transfusion of blood products, depending on the catheter caliber and the patient's age (2,4) . Despite the advantages of CVC, there are risks of complications associated with their use, such as venous thromboembolism, hemorrhage, infiltration, rupture, phlebitis and infection, with primary bloodstream infections (PBSI) being the most frequently related to health care (5)(6)(7) . PBSI can lead to clinical complications for patients, longer hospital stay, increased morbidity and mortality, and a significant increase in health care costs (8) .…”

mentioning

confidence: 99%

Adesão ao bundle de inserção de cateter venoso central em unidades neonatais e pediátricas

Araujo

Manzo

Costa

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective:To describe the observed behavior of professionals in two neonatal and pediatric intensive care units regarding the use of central venous catheter insertion bundle, and the clinical and birth profile of neonates and children who received the devices. Method: A quantitative descriptive exploratory study was conducted in two intensive care units of a public hospital in Belo Horizonte with neonates and children, between February and September 2016. Results: The sample consisted of 59 observed implants of central venous catheter. Most patients were male preterm infants, of cesarean delivery and proper weight according to the gestational age. Among all procedures observed, only three followed all recommendations for the central venous catheter insertion bundle. Incorrect techniques were observed while performing surgical antisepsis and inadequate use of chlorhexidine, an antiseptic. Conclusion: The findings highlight the importance of more investment in continuous training of the team on the prevention of bloodstream infection caused by central venous catheter to reduce the number of adverse events related to intravenous therapy. DESCRIPTORS INTRODUCTIONThe technical and scientific advances related to invasive procedures have led to reduced infant mortality and increased survival rate of preterm newborns, which has changed the profile of care, raising the demand for increasingly complex care required for the survival of this population (1)(2)(3) . The adoption of central venous catheters (CVC) in clinical practice was an important advance in the care to preterm newborns, ensuring safe venous access with less invasive, simple and low-cost techniques.The types of CVC commonly used in pediatrics and neonatology are peripherally inserted central catheters (PICC), central insertion catheters, and umbilical venous catheters (UVC). These devices allow continuous administration of intravenous fluids and medications, parenteral nutrition, hemodynamic monitoring, and in some cases transfusion of blood products, depending on the catheter caliber and the patient's age (2,4) . Despite the advantages of CVC, there are risks of complications associated with their use, such as venous thromboembolism, hemorrhage, infiltration, rupture, phlebitis and infection, with primary bloodstream infections (PBSI) being the most frequently related to health care (5)(6)(7) . PBSI can lead to clinical complications for patients, longer hospital stay, increased morbidity and mortality, and a significant increase in health care costs (8) . Planning and adopting PBSI prevention measures is essential for reducing morbidity and mortality rates, improving the quality and safety of health care, and reducing hospitalization costs (7,(9)(10) . Strategies have been developed to reduce the incidence of PBSI associated with central venous catheters, for instance, the guidelines proposed by the Centers for Disease Control and Prevention (CDC), called Guidelines for the Prevention of Intravascular Catheter-Related Infections (10) . This is a...

show abstract

mentioning

confidence: 99%

Adesão ao bundle de inserção de cateter venoso central em unidades neonatais e pediátricas

Araujo

Manzo

Costa

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…Nesse sentido, torna-se imprescindível o incentivo do uso do cateter nas unidades hospitalares, sabendo que a não visibilidade do cateter é uma situação preocupante, e foi observado que isso se dá tanto devido ao custo quanto a capacitação de profissionais para o manuseio desse dispositivo, embora, seus benefícios sejam incontestáveis 17,18 .…”

Section: Resultsunclassified

Conhecimento de enfermeiros acerca do cateter central de inserção periférica: realidade local e desafios globais

et al. 2018

View full text Add to dashboard Cite

Objetivo: analisar o conhecimento dos enfermeiros quanto à utilização do cateter central de inserção periférica (PICC) como dispositivo intravenoso na prática assistencial, em três hospitais públicos do Estado do Rio de Janeiro. Método: estudo descritivo seccional, através da análise univariada e bivariada, com cálculo das medidas de tendência central. Participaram do estudo 41 enfermeiros. Resultados: embora, 38 (92,7%) enfermeiros informaram conhecer o PICC, 29 (70,8%) destes não possuíam habilitação para inserção do cateter; 23 (56,1%) desconheciam as vantagens do dispositivo; 26 (63,4 %) informaram que o cateter não é indicado nas instituições pesquisadas, prevalecendo a punção profunda. Conclusão: a maioria dos enfermeiros pesquisados não possui o título de e habilitação para a indicação e inserção do referido cateter. Do mesmo modo, as instituições pesquisadas não indicam o PICC como dispositivo intravenoso, apesar de suas inegáveis vantagens, como a qualidade e a segurança na prática clínica.

show abstract

“…The nursing interventions enable observations, clinical and scientific practice, effective monitoring providing prevention and control of adverse effects, resulting in security for the professional and the quality of care by exempting the most risk to the patient. [9] Mechanical ventilation (MV) or ventilatory support, totally or partially substitutes mechanical ventilation and consists of a support method for the treatment of acute respiratory failure (ARF) or chronic worsened. This support provides improved gas exchange and decreased work of breathing of the patient, can be noninvasively through an external interface, or invasive with an endotracheal tube or tracheostomy tube.…”

Section: Resultsmentioning

confidence: 99%

Strength In Bacterial Pseudomonas Aeruginosa Sample

Paula¹,

Santos²,

Arruda³

et al. 2016

Int Arch Med

View full text Add to dashboard Cite

Efeitos adversos relacionados ao processo do cateterismo venoso central em unidade intensiva neonatal e pediátrica

Cited by 6 publications

References 9 publications

Adesão ao bundle de inserção de cateter venoso central em unidades neonatais e pediátricas

Adesão ao bundle de inserção de cateter venoso central em unidades neonatais e pediátricas

Conhecimento de enfermeiros acerca do cateter central de inserção periférica: realidade local e desafios globais

Strength In Bacterial Pseudomonas Aeruginosa Sample

Contact Info

Product

Resources

About