Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns.

IF 1.2 4区医学 Q3 NURSING Revista da Escola de Enfermagem da U S P Pub Date : 2023-06-30 eCollection Date: 2023-01-01 DOI:10.1590/1980-220X-REEUSP-2022-0347en

Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski

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Abstract

Objective: To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.

Method: A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.

Results: Seven nurses participated in the research. Catheter pre-insertion, insertion and maintenance were assessed using the conventional and modified Seldinger technique. Reliability was satisfactory in pre-test, 5.40 (Md = 6.00), and post-test, 5.94 (Md = 7.00), and perfect in the items about device insertion and maintenance. There was low assertiveness in the items on indication, microintroduction procedure via ultrasound, limb repositioning and disinfection of connections/connectors.

Conclusion: Despite the Modified Seldinger Technique expanding some stages of execution over the traditional method of percutaneous catheterization, nurses were more assertive after theoretical-practical training. The technology was implemented and is in the process of being implemented in the health service.

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对重症新生儿实施经皮导管插入术的改良 Seldinger 技术。

目的描述在重症新生儿经皮导管插入术中采用改良塞丁格技术的情况：方法：与新生儿重症监护室的新生儿科护士进行一项前后对比的准实验研究：结果：七名护士参与了研究。使用传统和改良的塞尔丁格技术对导管插入前、插入和维护进行了评估。前测和后测的信度分别为 5.40（Md = 6.00）和 5.94（Md = 7.00），结果令人满意。在关于适应症、超声微导入程序、肢体复位和连接/接头消毒的项目中，自信度较低：结论：尽管 "改良塞丁格技术 "比传统的经皮导管插入术在某些执行阶段有所扩展，但经过理论-实践培训后，护士的自信心增强了。该技术已在医疗服务中实施，并正在实施过程中。

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来源期刊

Revista da Escola de Enfermagem da U S P 医学-护理

CiteScore

1.70

自引率

11.10%

发文量

254

审稿时长

3-8 weeks

期刊介绍： The University of São Paulo Nursing School Journal (Revista da Escola de Enfermagem da USP, REEUSP) is a bimonthly periodical revised by fellow nurses, which has the objective of publishing empirical or theoretical articles that represent a significant advance for the professional practice or for the fundaments of Nursing Mission: to stimulate knowledge production and dissemination in Nursing and related areas, focusing on international interlocution to advance Nursing science. Areas of Interest: Nursing and Health Its abbreviated title is Rev Esc Enferm USP, which should be used in bibliographies, footnotes and bibliographical references and strips.