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Peripherally inserted central catheter in newborns: association of number of punctures, vein, and tip positioning

Catéter central de inserción periférica en recién nacidos: asociación entre número de punciones, vena y posicionamiento de la punta

ABSTRACT

Objective:

to assess the use of peripherally inserted central catheters regarding the neonate’s profile, indications for use, and catheterized vein; the relation between the number of puncture attempts and vein; and assessment of the catheter tip position.

Method:

documentary, descriptive, retrospective, quantitative study, developed in a tertiary maternity hospital in Ceará. A total of 3,005 PICC insertion formularies was included and 1,583 were excluded due to incomplete data, with a convenience sampling of 1,422 insertions being obtained.

Results:

There were 1,200 (84.4%) newborns with gestational age below 37 weeks; 781 (54.9%) males; Apgar score above 7 in the first (628–44.2%) and fifth minutes (1,085–76.3%); and weight between 1,000 and 1,499 grams on the day of insertion (417–29.3%). Antibiotic therapy had 1,155–53.8% indications for insertion; the basilic was the most used vein (485–34.1%); basilic and cephalic veins had lower median puncture attempts and 1,124–79% insertions were centrally positioned.

Conclusion:

The results of this research highlight the continuous need to improve technical-scientific knowledge to qualify actions in neonatology.

DESCRIPTORS
Catheterization, Peripheral; Catheterization, Central Venous; Infant, Newborn; Nursing Care; Intensive Care Units, Neonatal

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