Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski
{"title":"危重新生儿经皮导管插管改良Seldinger技术的实施。","authors":"Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski","doi":"10.1590/1980-220X-REEUSP-2022-0347en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.</p><p><strong>Method: </strong>A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":21229,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328393/pdf/","citationCount":"0","resultStr":"{\"title\":\"Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns.\",\"authors\":\"Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski\",\"doi\":\"10.1590/1980-220X-REEUSP-2022-0347en\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.</p><p><strong>Method: </strong>A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":21229,\"journal\":{\"name\":\"Revista da Escola de Enfermagem da U S P\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328393/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista da Escola de Enfermagem da U S P\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1590/1980-220X-REEUSP-2022-0347en\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista da Escola de Enfermagem da U S P","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1980-220X-REEUSP-2022-0347en","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns.
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.
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.
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