Complicação e retenção de cateter central de inserção periférica em recém-nascidos: relatos de casos

Q4 Nursing Revista Baiana de Enfermagem Pub Date : 2023-01-01 DOI:10.18471/rbe.v37.52281
Gisele Weissheimer, Clélia Mozara Giacomozzi, Taine Costa, Luciana Machado Carvalho, Adenilton Costa Sousa
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Abstract

Objective: to report cases of complication and retention of a peripherally inserted central catheter (PICC) in newborns admitted to the Neonatal Intensive Care Unit. Method: descriptive study, of the case reports type, carried out from May to October 2022, in a hospital in southern Brazil. Results: Two cases of coiling/knot formation and PICC retention were identified. In the first case, there was difficulty in removing the catheter right after its insertion, requiring surgical removal. In the second case, the PICC was identified by radiography in the antecubital fossa of the neonatal upper limb, without migration from the tip to the central region. This PICC was removed by manual traction, without resistance or complications. Conclusion: the formation of balls or knots in PICC and retention are rare complications, being aware of this event allows the construction of evidence and strategies for prevention and adequate management in professional practice.
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新生儿外周插入中心导管的并发症和滞留:病例报告
目的:报告新生儿重症监护病房(Neonatal Intensive Care Unit)新生儿外周血管插入中心导管(PICC)并发症和留置的病例。方法:于2022年5月至10月在巴西南部一家医院进行病例报告型描述性研究。结果:确定了2例卷曲/结形成和PICC保留。在第一个病例中,导管插入后很难立即取出,需要手术切除。在第二个病例中,PICC通过x线摄影在新生儿上肢的前肘窝被发现,没有从尖端到中心区域的迁移。该PICC通过手动牵引切除,无阻力或并发症。结论:PICC的球或结形成和保留是罕见的并发症,意识到这一事件可以在专业实践中建立预防和适当管理的证据和策略。
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来源期刊
Revista Baiana de Enfermagem
Revista Baiana de Enfermagem Nursing-Nursing (all)
CiteScore
0.70
自引率
0.00%
发文量
56
审稿时长
8 weeks
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