Progression of peripherally inserted central catheter in hemiclavicular region of newborns
DOI:
https://doi.org/10.15253/2175-6783.20202142980Keywords:
Catheterization, Central Venous; Catheterization, Peripheral; Infant, Newborn; Infusions, Intravenous; Neonatal Nursing.Abstract
Objective: to evaluate the progression of the peripherally inserted central catheter in the right hemiclavicular region, through the right basilic and cephalic vein, in newborns. Methods: quasi-experimental research, carried out in a neonatal unit. Sample of 64 catheter insertions in 58 newborns. The intervention consisted of shoulder elevation, protraction and lowering maneuver, applied after the catheter had not progressed, in the hemiclavicular region by direct puncture in the cubital region, in the right basilic or cephalic vein. Results: of the 64 insertions, 28(43.7%) progressed without maneuver; in more than half, a maneuver was applied, obtaining 28(77.8%) progressions, with 15(41.7%) progressing after elevation, 12(57.1%) after protraction, 1(11.1%) lowering the shoulder, of those that progressed, 21(75%) were in central position. There was statistical significance (p<0.05) between progression with maneuver and cephalic vein, progression without maneuver and basilic vein. Conclusion: the intervention facilitated the progression of the catheter, mainly through the cephalic vein.
References
Unbeck M, Forberg U, Ygge BM, Ehrenberg A, Petzold M, Johansson E. Peripheral venous catheter related complications are common among paediatric and neonatal patients. Acta Pædiatr. 2015; 104(6):566-74. doi: http://dx.doi.org/10.1111/apa.12963
Telang N, Sharma D, Pratap OT, Kandraju H, Murki S. Use of real-time ultrasound for locating tip position in neonates undergoing peripherally inserted central catheter insertion: a pilot study. Indian J Med Res. 2017; 145(3):373-6. doi: http://dx.doi.org/10.4103/ijmr.IJMR_1542_14
Doellman D, Buckner JK, Catudal JP, Frey AM, Lamagna P, Runde DA, et al. Best practice guidelines in care and maintenance of pediatric central venous catheters. Ava Pediatric Special Interest Group. [Internet]. 2015 [cited 11 Dec, 2019]. Available from: http://hummingbirdmed.com/wp-content/uploads/AVA-Guidelines-Pediatric-Guidelines.pdf
Harada MJCS, Pedreira MLG. Terapia intravenosa e infusões. São Caetano do Sul (SP): Yendis; 2011.
Gandhi VG, Rali P, Shah P, Cheema T. Catheter pinch-off syndrome. Lung India [Internet]. 2017 [cited Jan 11, 2020]; 34(5):470-1. Avai- lable from: http://www.lungindia.com/text.asp?2017/34/5/470/213825
Sharpe E, Kuhn L, Ratz D, Krein SL, Chopra V. Neonatal peripherally inserted central catheter practices and providers. Adv Neonatal Care. 2017; 17(3):209-21. doi: http://dx.doi.org/10.1097/ANC.0000000000000376
Beccaria P, Silvetti S, Mucci M, Battini I, Brambilla P, Zangrillo A. Contributing factors for a late spontaneous peripherally inserted central catheter migration: a case report and review of literature. J Vasc Access; 2015; 16(3):178-82. doi: http://dx.doi.org/10.5301/jva.5000337
Krein SL, Kuhn L, Ratz D, Winter S, Vaughn VM, Chopra V. The relationship between perceived role and appropriate use of peripherally inserted central catheters: a survey of vascular access nurses in the United States. Int J Nurs Stud. 2017; 71:28-33. doi: http://dx.doi.org/10.1016/j.ijnurstu.2017.03.001
Bortoli PS, Leite AC, Alvarenga WA, Alvarenga CS, Bessa CR, Nascimento LC. Peripherally inserted central catheter in pediatric oncology: a scoping review. Acta Paul Enferm. 2019; 32(2):220-8. doi: http://dx.doi.org/10.1590/1982-0194201900030
Costa P, Kimura AF, Brandon DH, Paiva ED, Camargo PP. The development of a risk score for unplanned removal of peripherally inserted central catheter in newborns. Rev Latino-Am Enfermagem. 2015; 23(3):475-82. doi: http://dx.doi.org/10.1590/0104-1169.0491.2578
Rangel RJM, Castro DS, Amorim MHC, Zandonade E, Christoffel MM, Primo CC. Practice of insertion, maintenance and removal of peripheral inserted central catheter in neonates. Rev Pesq Fundament Care online. 2019; 11(n.esp):278-84. doi: http://dx.doi.org/10.9789/2175-5361.2019.v11i2.278-284
Franklin I, Gilmore C. Placement of a peripherally inserted central catheter into the azygous vein. J Med Radiat Sci. 2015; 62(2):160-2. doi: http://dx.doi.org/10.1002/jmrs.98
Nobre KSS, Cardoso MVLML, Teixeira JL, Lopes MMCO, Fontenele FC. Use of peripherally inserted central catheter in a neonatal unit: a descriptive study. Online Braz J Nurs. 2016; 15(2):215-25. doi: http://dx.doi.org/10.17665/1676-4285.20165420
Beard L, Levek C, Hwang S, Grover T. Prediction of nonelective central venous catheter removal in medically complex neonates. Pediatr Qual Saf. 2019; 4(4):e179. doi: http://dx.doi.org/10.1097/pq9.0000000000000179
Manzo BF. Nursing performance in strengthening patient safety in neonatology. Rev Enferm Centro-Oeste Min. 2018; 8:eEditorial. doi: http://dx.doi.org/10.19175/recom.v8i0.3226
