Incidence of Nonelective Removal of Percutaneously Inserted Central Catheters According to Tip Position in Neonates
作者： Priscila Costa , Mariana Bueno , Angelina Maria Aparecida Alves , Amélia Fumiko Kimura
关键词:
摘要: ABSTRACT Objective To compare the incidence and reasons for nonelective removal of percutaneously inserted central catheters (PICC lines) between centrally noncentrally placed PICC lines in neonates. Design Prospective cohort study. Setting A 60‐bed, tertiary‐level neonatal intensive care unit a private hospital Sao Paulo, Brazil. Participants Neonates who were born at underwent successful insertion 237 lines. They divided into two groups, noncentral, according to tip position. Methods monitored daily from until its removal. Data collected medical records. Results Of PICCs analyzed, 207 (87.4%) had their position 30 (12.6%) noncentral The was similar groups ( p = .48). significantly different = .007), with higher extravasation group. Conclusion Noncentrally can provide vascular access neonates requiring venous administration intravenous solutions. Many potential catheter‐related complications be prevented by careful bedside nursing. Frequent monitoring is necessary detect prevent
jognn.org
elsevier.com参考文章(21)
Jennifer K. Peat, Belinda Barton, Medical Statistics: A Guide to Data Analysis and Critical Appraisal ,(2005)
Khalil Al Tawil, Alaa Eldemerdash, Khalid Al Hathlol, Bdeir Abu Laimoun, Peripherally inserted central venous catheters in newborn infants: malpositioning and spontaneous correction of catheter tips. American Journal of Perinatology. ,vol. 23, pp. 37- 40 ,(2006) , 10.1055/S-2005-921330
Ravi R. Thiagarajan, Susan L. Bratton, Theresa Gettmann, Chandra Ramamoorthy, Efficacy of Peripherally Inserted Central Venous Catheters Placed in Noncentral Veins JAMA Pediatrics. ,vol. 152, pp. 436- 439 ,(1998) , 10.1001/ARCHPEDI.152.5.436
Alessandra Tomazi Franceschi, Maria Luzia Chollopetz da Cunha, Adverse events related to the use of central venous catheters in hospitalized newborns Revista Latino-americana De Enfermagem. ,vol. 18, pp. 196- 202 ,(2010) , 10.1590/S0104-11692010000200009
Sandy Sundquist Beauman, Anne Swanson, Neonatal Infusion Therapy: Preventing Complications and Improving Outcomes Newborn and Infant Nursing Reviews. ,vol. 6, pp. 193- 201 ,(2006) , 10.1053/J.NAINR.2006.09.001
Pamela Paulson, Kellee Miller, Neonatal peripherally inserted central catheters: recommendations for prevention of insertion and postinsertion complications. Neonatal network : NN. ,vol. 27, pp. 245- 257 ,(2008) , 10.1891/0730-0832.27.4.245
Sergio G Golombek, Annie J Rohan, Boriana Parvez, Anne L Salice, Edmund F LaGamma, “Proactive” Management of Percutaneously Inserted Central Catheters Results in Decreased Incidence of Infection in the ELBW Population Journal of Perinatology. ,vol. 22, pp. 209- 213 ,(2002) , 10.1038/SJ.JP.7210660
Elizabeth L. Sharpe, Developing a Nurse-Directed Peripherally Inserted Central Catheter Team in the Neonatal Intensive Care Unit Newborn and Infant Nursing Reviews. ,vol. 6, pp. 225- 229 ,(2006) , 10.1053/J.NAINR.2006.09.002
Lisa A. Gorski, Infusion Nursing Standards of Practice Journal of Infusion Nursing. ,vol. 30, pp. 20- 21 ,(2007) , 10.1097/01.NAN.0000270673.13439.95
T M Bueno, A I Diz, P Q Cervera, J Pérez-Rodríguez, J Quero, Peripheral insertion of double-lumen central venous catheter using the Seldinger technique in newborns. Journal of Perinatology. ,vol. 28, pp. 282- 286 ,(2008) , 10.1038/SJ.JP.7211923