NURSING CARE IN PERIPHERAL INTRAVENOUS CATHETERIZATION IN HOSPITALIZED CHILDREN: INTEGRATIVE REVIEW

Nascimento, Juliana; Silva, Mirian Gonçalves da; Fernandes, Juliana Iasmin De Souza; Galvão, Vanessa Teles Luz Stephan; Messias, Cláudia Maria

doi:10.1590/1980-265X-TCE-2021-0300

Acessibilidade / Reportar erro

Brasil

Texto & Contexto - Enfermagem

Español English

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

Literature Review • Texto contexto - enferm. 31 • 2022 • https://doi.org/10.1590/1980-265X-TCE-2021-0300 copy

NURSING CARE IN PERIPHERAL INTRAVENOUS CATHETERIZATION IN HOSPITALIZED CHILDREN: INTEGRATIVE REVIEW

CUIDADOS DE ENFERMERÍA EN CATETERIZACIÓN INTRAVENOSA PERIFÉRICA EN NIÑOS HOSPITALIZADOS: REVISIÓN INTEGRATIVA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to describe nursing care in peripheral intravenous catheterization in hospitalized children.

Method:

integrative review carried out in November 2020 in LILACS, CINAHL, MEDLINE, SciELO, BDENF and COCHRANE databases. The analysis was constructed from the processes of this review.

Results:

19 articles were analyzed, classified according to the level of evidence: level II (5%), level IV (21%), level V (5%), level VI (63%) and level VII (5%). Analytical category "Care for hospitalized child requiring peripheral intravenous catheter". Ultrasound was considered a useful technology. The most used and recommended catheter is the 24 Gauge caliber and the ideal dressing is to use sterile transparent film. Venipuncture in children is more difficult than adults and is often associated with adverse events. Elective catheter replacement is not recommended in children, but there are still doubts. The Difficult Intravenous Access score determines the probability of catheterization failure. Specialized and trained nursing professionals make a difference in this procedure. One should be concerned with pain, using pharmacological and non-pharmacological devices to minimize it.

Conclusion:

this review contributes to good practices in the care of peripheral intravenous catheterization in children and was based on data on the main technologies used, forms of prevention of adverse events, as well as nursing actions that ensure the safest and least stressful process for children and their families.

DESCRIPTORS:
Peripheral catheterization; Pediatric nursing; Neonatal nursing; Patient safety; Nursing care

Code	Article reference	Purpose of the article	Number of participants	Children's age group
1	Silva et al.²⁴	Validate the content and appearance of didactic and instructional technology entitled "Peripheral venous puncture for family" with the accompanying family members of children.	Mothers:09. Grandmother:01.	Pediatrics: does not specify age limit.
2	Shaukat et al²³	Evaluate the ability of pediatric emergency professionals to PIC § in patients with DIVA\|\| 4 or higher. Evaluate the association of the experience of professionals with the first attempt success rates. To evaluate the impact of experience on the ability of professionals to perform PIC insertion in patients with high DIVA score \|\|.	Doctors and nurses: 29.	Age under 18 years - N^*: 181.
3	Santos et al²⁹	To verify the influence of vascular† US, infrared light emission and transdermal illumination on the success of PIC; number of attempts, time to perform the procedure, permanence of the catheter in situ and occurrence of complications in children, when compared to the traditional method.	Articles: 25.	Age from zero to 18 years.
4	Otani et al²⁸	Investigate the usefulness of US † for PIC §, comparing success rates with or without US† in children with difficult intravenous access.	First attempt: 734 children. Second attempt: 100 children with US† and 99 children with common technique.	Age under 16 years.
5	Gomes et al²⁷	Describe the behavioral and physiological responses of newborns submitted to venous puncture, with and without the use of non-pharmacological measures for pain relief.	Newborn:84.	Zero to 28 days of life.
6	Goel et al⁵	Describe and document venous changes that can be visualized with ultrasound in pediatric patients.	Children: 35.	Three to 15 years.
7	Freire et al²²	Present cross-cultural adaptation and content and semantic validation of diva\|\| for current use in Brazil.	Doctors: 7. Nurses: 2. Nursing technician: 3. Nursing assistant: 8. Total: 20.	From 1 to 3 years.
8	Floriano et al²	To verify characteristics related to critical child, catheter and professional that can influence the time to puncture success.	Children: 89.	Pediatrics: 0 to over 7 years (did not delimit maximum age).
9	Diener et al²⁶	Evaluate the effectiveness of the intervention of specialists in children's lives to minimize the suffering of children undergoing intravenous placement procedures.	Children: 95.	Pediatrics: 2 years or more (did not delimit maximum age).
10	Cooke et al²⁵	Understand the experience of peripheral access users; establish aspects of insertion and care relevant to them; and compare adult experiences to adult caregivers of a child.	Adults: 570. Companions of minors under 18 years: 142. Total: 712.	Adults over 18 years and companions of children under 18 years of age.
11	Chin et al⁴	Determine whether the extravasation rate is reduced with elective replacement of peripheral venous access in newborns.	Newborn: 113	Newborns 32 weeks of GI‡ or more.
12	Carey³⁰	Publicize the pediatric venous access service of St. George's, which is led by nurses through conference.	No.	Pediatrics: does not specify age limit.
13	Bolcato et al¹	Report a case of mutilation after use of peripheral venous access for more than six days.	Child: 1.	Newborns from 23 weeks and 5 days of GI‡ to 2 years of age.
14	Bitencourt et al.²⁰	To evaluate the prevalence of phlebitis related to the use of peripheral intravenous devices in children in a university hospital.	Children: 871.	29 days to 14 years.
15	Ben Abdelaziz et al.¹⁹	Identify the types and incidences of PIC § complications in children and predisposing factors in a developing country.	Children:98	Average 4 years old.
16	Atay et al.¹⁷	Identify the incidence and factors related to infiltration and extravasation in newborns with peripheral venous catheter.	Newborns: 152.	Extreme preterm to full-term newborns.
17	Sena et al¹⁶	Identify patient safety measures in nursing care before, during and after peripheral puncture of premature newborns.	Nursing assistants: 11. Nursing techniques: 25. Nurse: 6. Total: 42.	Premature newborns.
18	Bezerra et al.²¹	To identify the practice and level of knowledge of nursing technicians regarding peripheral venous catheterization in pediatrics.	Nursing technicians: 154.	Pediatrics: does not specify age limit.
19	Bai et al.¹⁸	Develop a parental care response scoring system based on Swanson's Theory of Care and test the psychometric properties of this system in children with cancer.	Responsible at the first moment: 29. In the second moment: 43.	Children from 3 to 12 years.

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] CORRESPONDING AUTHOR
Juliana Nascimento jnasc01@gmail.com