Progressão do cateter central de inserção periférica em região hemiclavicular de recém-nascidos

Keline Soraya Santana Nobre; Maria Vera Lúcia Moreira Leitão  Cardoso; Elisa da Conceição Rodrigues; Gleicia Martins de Melo

doi:10.15253/2175-6783.20202142980

Authors

Keline Soraya Santana Nobre Universidade Federal do Ceará http://orcid.org/0000-0002-9834-9715
Maria Vera Lúcia Moreira Leitão Cardoso Universidade Federal do Ceará http://orcid.org/0000-0002-0481-6440
Elisa da Conceição Rodrigues Universidade Federal do Rio de Janeiro http://orcid.org/0000-0001-6131-8272
Gleicia Martins de Melo Universidade Federal do Ceará http://orcid.org/0000-0001-5904-1796

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.

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