Progression of peripherally inserted central catheter in hemiclavicular region of newborns

Authors

DOI:

https://doi.org/10.15253/2175-6783.20202142980

Keywords:

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

Published

2020-05-18

How to Cite

Nobre, K. S. S., Cardoso, M. V. L. M. L. ., Rodrigues, E. da C., & Melo, G. M. de. (2020). Progression of peripherally inserted central catheter in hemiclavicular region of newborns. Rev Rene, 21, e42980. https://doi.org/10.15253/2175-6783.20202142980

Issue

Section

Research Article

Most read articles by the same author(s)

<< < 7 8 9 10 11 12 13 > >>