An Audit of Nursing Care and Placement of Peripherally Inserted Central Catheter in Infants (original) (raw)
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International Journal of Nursing
Peripherally Inserted Central Catheters (PICC) have been used for decades in diverse settings. The aim of this study was to review the literature regarding the knowledge and care related to PICC lines in Pediatrics and Neonatology. An integrative literature search of studies published between 2005 and 2015 was conducted in Pubmed, Web of Science, CINAHL, LILACS, and SciELO using the terms in different combinations: newborn, child, neonatal intensive care, pediatric intensive care, peripherally inserted central catheter, PICC, and nursing. Ten studies were reviewed, most of them conducted by Brazilian nurses. The results were summarized in two thematic categories: (1) Nursing care using PICC lines, and (2) Nursing clinical practice related to the use of PICC lines. Few studies reported the care and practices of using PICC in neonatology and pediatric settings in the last ten years. The use of new technologies has contributed significantly to the increasing number of PICC insertions with decreased patients' risks. The results of this study also highlighted the limitations of nursing knowledge about PICC line care. Therefore, updated activities and knowledge acquisition are essential for nurses in order to establish guidelines for the use of this device in Neonatology and Pediatrics
Handling of Peripherally Inserted Central Catheter (PICC) in Neonatal ICU
This study has as research line Nursing Education and predominant area Nursing in Child and Adolescent Health Care. Where we will address as a theme the complications related to the handling of the picc catheter (peripherally inserted central catheter) in the NEONATAL ICU. The object of the study is the Iatrogenies related to the management of PICC in UTINEO. The interest in researching the subject arose after a technical visit made in a hospital unit of the public network in the ICUNEO sector, where it was observed the use of the catheter and its Menezes et al.
Revista Latino-Americana de Enfermagem, 2010
The right to practice the Peripherally Inserted Central Catheter (PICC) technique, mainly in neonatal intensive care units, was achieved by nursing and consists of efforts that lead to a new challenge: the improvement of the practice of this procedure. This study determined and evaluated the theoretical and practical knowledge acquired by nurses in qualification courses concerning aspects of PICC line insertion in the case of newborns. This descriptive and quantitative study used a questionnaire with nine questions to collect data. The study population was composed of 40 nurses qualified to insert a PICC line in newborns. According to the conceptual knowledge scale established for this study, the results reveal that the nurses have inadequate knowledge concerning the studied aspects, indicating the need for nurses to constantly update and improve their knowledge about this practice so as to better the quality of care delivered to newborns.
Peripherally Inserted Central Catheters (PICC) consist of an intravenous device widely used in neonates in intensive care units, characterizing a procedure that is related to a long repertoire of complications that can intensify neonatal morbidity and mortality. The study aims to review and analyze the factors associated with complications resulting from the use of peripherally inserted central catheter in neonates. Method: This is a bibliographic, descriptive analysis, of the integrative literature review type, with searches carried out in the Scientific Electronic Library Online (SciELO) and PubMed databases. Eight complete articles were selected, available in open access in Portuguese and English and published in the years 2018 to 2022. Results: From the analysis of the classes, three categories emerged: Class 1- Risk Factors Associated with PICC Use, Class 2 - Complications Deriving from the use of the PICC, Class 3 - Professional Training against the Maintenance of the PICC. Conclusion: it was evidenced that care related to the insertion and maintenance of the PICC is mainly directed to the control of nosocomial infection, highlighting the adherence to aseptic techniques for handling the catheter, performing the dressing and proper hand hygiene.
Archives of Iranian Medicine
Background: Peripherally inserted central catheters (PICCs) are an effective method for medication and nutrition infusion in preterm neonates. The present study aimed to identify the incidence of the most common complications of PICC implantation and evaluate the risk factors of each complication. Methods: This historical cohort study was conducted on 2500 neonates with birth weights (BWs)≥500 g and gestational age (GA)>24 weeks who had a history of PICC inserted in three NICUs between August 2015 and August 2018. Data were collected by reviewing medical records. Demographic data and indices of catheter placement, duration of catheter placement, and common complications were recorded. Data analysis was done using SPSS-21. Results: The median cubital vein had the most PICC placement (43%). The most common complication was tip malposition (48.2%). The incidence rates (95% CI) of the main complications such as malposition, edema/occlusion, and PICC migration were 0.0356 (0.0337-0.03...
Adverse events in the use of central venous catheter of peripheral insertion in public hospital
Journal of Nursing Ufpe Online, 2015
Objectives: recognizing the profile of nurses and identifying adverse events (AEs) in the use of central venous catheter (PICC). Method: a descriptive study in a children's hospital in Goiânia (GO), with 26 nurses, from October to November 2012. Data were analyzed using descriptive analysis. The project was approved by the Research Ethics Committee, protocol 15/2012. Results: prevailed females (100%), 53,8% had trainning for insertion of PICC, AEs related to difficulties in progression/ closing of the capillary valve were the most witnessed in the catheter insertion phase (27,8%), in catheter obstruction (61,5%) in maintainance and rupture/breakage of the catheter (15,4%) of removing the catheter. Conclusion: it becomes necessary training for nurses, allied to continuing education activities to promote policy and strategy formulation to minimizing flaws and building a professional and institutional culture of safety. Descriptors: Patient's Safety; Central Venous Catheters; N...
Revista da Escola de Enfermagem da USP, 2021
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% insertio...
Journal of the Association for Vascular Access, 2010
The primary aim of this project is to reduce the incidence of 3 Fr. Groshong TM PICC occlusions through focused nursing education. BACKGROUND: The use of Peripherally Inserted Central Catheters (PICC) has become an essential tool in the care of pediatric patients. The small lumen and long length of PICCs requires specialized skill and knowledge in proper care, maintenance and flushing in order to prevent catheter occlusion and other complications. Occluded catheters compromise patient care and increase costs. Reducing the incidence of catheter occlusion, will have a significant impact on the quality of patient care; patient, family and nursing satisfaction, patient outcomes, and costs. METHODS: A pre-test/post-test design using a convenience sample of all the core staff nurses working on the medical/surgical unit at a Southern California Children's Hospital was utilized. Objective measures included a written assessment of nursing knowledge, direct observations of nurses' flushing technique, and retrospective chart review to determine the rate of total catheter occlusion. RESULTS: Mean written test scores improved from 0.78 to 0.93 (p=0.00) Mean observation scores improved from 0.88 to 0.95, (p=0.004). The pre-test occlusion rate was 21.11/1000 catheter days. The post test occlusion rate was 15.49/1000 catheter days (p=0.057). CONCLUSION: Focused nursing education contributed to reducing 3F Groshong TM PICC occlusions and the associated costs due to PICC occlusions. KEY WORDS: PICC, Occlusion.
Iranian journal of nursing and midwifery research, 2013
By increasing the survival of immature newborns, intravenous access methods, used to provide intravenous therapy, became more important. More attention has been recently paid on peripherally inserted central venous catheters in newborns, although it is yet unknown in Iran. In this study, we tried to discover the barriers to spread the usage of peripherally inserted central venous catheters (PICC) in the neonatal intensive care units of hospitals affiliated to Isfahan University of Medical Sciences. In this descriptive explorative qualitative research, conducted from December 2011 to April 2012 with purposeful sampling and snowball method, participants were selected from nurses and residents of neonatology and neonatal specialists working in Alzahra, Shahid Beheshty, and Amin hospitals, until data saturation occurred. Data were analyzed with thematic analysis proposed by Broun and Clarke in 2006. Data analysis yielded 175 initial codes, 12 sub-themes, and 3 main themes. The main them...
Revista de Pesquisa: Cuidado é Fundamental Online
Objetivo: Avaliar as práticas de enfermagem na inserção, manutenção e remoção do Cateter Central de Inserção Periférica em neonatos. Métodos: Estudo correlacional retrospectivo realizado em um Hospital Universitário com amostra de 137 neonatos no período de 2009 a 2012. Os dados foram coletados no prontuário e analisados com testes estatísticos. Resultados: O posicionamento inicial da ponta do cateter foi central em 60,6%. Complicações ocorreram em 53,3% dos cateteres, e as mais comuns: obstrução (13,1%) e infiltração/extravasamento (12,4%). O tempo de permanência foi influenciado (p<0,05) pela posição da ponta não central, complicações e remoção não eletiva. Conclusão: Destaca-se a necessidade de elaboração de protocolos e a realização de programas de intervenção educativa, a fim de garantir a segurança do paciente e a qualidade da assistência.