USE OF SINGLE- AND DOUBLE-LUMEN PERIPHERALLY INSERTED CENTRAL CATHETERS IN EXTREMELY PREMATURE NEWBORNS: A RANDOMIZED CLINICAL TRIAL
DOI:
https://doi.org/10.5380/ce.v25i0.67870Keywords:
Central Venous Catheterization, Neonatal Intensive Care Units, Premature Infant, Nursing, Clinical Trial.Abstract
Objective: compare the rates of complications, infections and obstruction of single-lumen
peripherally-inserted central catheters to those of double-lumen catheters in extremely
premature infants.
Method: randomized clinical trial with 30 newborns with gestational age between 24 and 32
weeks. The variables collected were period of use, complications, handling of catheters and
obtaining peripheral venous accesses. Analysis was performed using descriptive statistics.
Results: there were differences in rates regarding handling catheters (p=0.001) and obtaining
concomitant venous accesses (p=0.01). However, there was no difference in complication
(p=0.14), obstruction (p=0.55) and infection rates (p=0.47). Despite being more frequently
handled, double-lumen catheters do not increase the risk of complications. They reduce the
need for obtaining new peripheral accesses and, consequently, the pain of premature infants.
Conclusion: the use of double-lumen peripherally-inserted central catheters is beneficial for
newborns that need multi-infusion therapy.
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