OUTCOMES OF PERIPHERALLY INSERTED CENTRAL CATHETER AND SURGICAL DISSECTION IN NEWBORNS

Authors

DOI:

https://doi.org/10.5380/ce.v25i0.68266

Keywords:

Catheterization, Central Venous, Infant, Newborn, Intensive Care, Neonatal, Peripheral, Neonatal Nursing.

Abstract

Objective: to investigate the outcomes related to the peripherally inserted central catheter
and surgical dissection in neonates in an intensive care unit.
Method: retrospective cross-sectional quantitative study, carried out in a children’s hospital in
Paraná. Data collection took place in September 2017, using records of neonates admitted
from January to December 2016, who had a peripherally inserted central catheter or surgical
dissection. Descriptive and association statistics were applied.
Results: A total of 165 records were analyzed, including 134 peripherally inserted catheters
(81.2%) and 31 surgical dissections (18.8%). The catheters showed a lower rate of infection
compared to dissections (6% and 16.1%, respectively). The following variables were
associated with the type of device: insertion site (p<0.001), dressing fixation (p<0.001),
standard operational protocol measures (p<0.001), indicators of adverse events (p<0.001),
with emphasis on the leakage associated with surgical dissection (p=0.006).
Conclusion: greater benefits are suggested to neonates regarding peripherally inserted
catheter.

Author Biographies

Higor Pacheco Pereira, Faculdades Pequeno Príncipe

Enfermeiro, Residente em Saúde da Criança e do Adolescente das Faculdades Pequeno Príncipe. Curitiba - Paraná.

Regiane Queiroz Afonso, Hospital Infantil Waldemar Monastier

Enfermeira, Especialista em Enfermagem em pediatria e cuidados intensivos neonatais, atua como coordenadora da UTI Pediátrica e Banco de Leite Humano do Hospital Infantil Waldemar Monastier. Curitiba - Paraná.

Débora Maria Vargas Makuch, Faculdades Pequeno Príncipe

Enfermeira, Mestre em Ensino nas Ciências da Saúde. Docente da Faculdades Pequeno Príncipe. Curitiba - Paraná.

Susanne Elero Betiolli, Universidade Federal do Paraná

Enfermeira, Doutora em Enfermagem, Professora adjunta do Departamento de Enfermagem da Universidade Federal do Paraná. Curitiba - Paraná.

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Published

2020-06-19

How to Cite

Pereira, H. P., Afonso, R. Q., Makuch, D. M. V., & Betiolli, S. E. (2020). OUTCOMES OF PERIPHERALLY INSERTED CENTRAL CATHETER AND SURGICAL DISSECTION IN NEWBORNS. Cogitare Enfermagem, 25. https://doi.org/10.5380/ce.v25i0.68266

Issue

Vol. 25 (2020)

Section

Research

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