Non-elective removal of Peripherally Inserted Central Catheter: cross-sectional study

Authors

DOI: https://doi.org/10.6018/eglobal.585841
Keywords: Catheters, Catheterization, Central Venous, Intensive Care Units, Pediatric, Catheter Obstruction, Nursing Care

Abstract

Introduction: Peripherally Inserted Central Catheter is an intravenous device that has become increasingly necessary due to its numerous benefits, especially for children.
Objective: Describing the prevalence and causes of non-elective removals of Peripherally Inserted Central Catheters inserted in a Pediatric Intensive Care Unit.
Methods: This is a cross-sectional study, with a quantitative approach, conducted in a Pediatric Intensive Care Unit of a teaching hospital in Natal, Rio Grande do Norte, between January 2017 and December 2019. Data were obtained from the record book of catheters present in the study sector. Results: A high rate of non-elective removals of this catheter was observed in the studied years: 56.6%, 41.6% and 40%, respectively, highlighting, in all years, obstruction as the main complication that caused removal, followed by rupture and traction.
Conclusions: Identifying the main complications and training the nursing team on preventive strategies are actions aimed at reducing this prevalence.

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References

Borghesan NBA, Demitto MO, Fonseca LMM, Fernandes CAM, Costenaro RGS, Higarashi IH. Peripherally inserted central catheter: practics of nursing team in the neonatal intensive care. Rev. enferm. UERJ [Internet]. 2017 [cited 2019 Jan 6]; 25:e28143. Available from: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/28143/25086

Conselho Federal de Enfermagem. Resolução COFEN nº 258 de 12 de julho de 2001. Inserção de cateter periférico central pelos enfermeiros. Rio de Janeiro; 2001. [cited 2019 Jan 15]. Available from: http://novo.portalcofen.gov.br/resoluo-cofen-2582001_4296.html.

Birindiba RR. A assistência de enfermagem neonatal no uso do cateter central de inserção periférica [dissertation on the Internet]. Rio de Janeiro: Faculdade de Medicina, Universidade Federal Fluminense; 2015. [cited 2019 Jan 15]. 90 p. Available from: https://app.uff.br/riuff/bitstream/1/10869/1/Renata%20Rangel%20Birindiba%20Disserta%c3%a7%c3%a3o.pdf

ANVISA. Medidas de Prevenção de Infecção Relacionada à Assistência à Saúde. 2017. [cited 2019 Fev 3]. p. 1–201. Available from: http://www.riocomsaude.rj.gov.br/Publico/MostrarArquivo.aspx?C=pCiWUy84%2BR0%3D

CDC - Center for Disease Control and Prevention. Bloodstream Infection Event (Central Line-Associated Bloodstream Infection and Non-central line-associated Bloodstream Infection). 2016. [cited 2019 Jan 12]. p.1-32. Available from: http://www.cdc.gov/nhsn/

Infusion Nurses Society Brasil (INS Brasil). Manual de PICC - peripherally inserted central catheter/organizadoras Harada MJCS, Mota ANB. São Paulo; 2017. 96p.

Barros DP, Onofre PSC, Calegari T, Pereira-Kushiyama SR, Pedreira MLG, Peterlini MAS. Osmolality of glucose and electrolyte solution used intravenously in neonates. Rev Soc Bras Enferm Ped [Internet]. 2017 [cited 2021 May 18];17(2):64-9. Available from: https://journal.sobep.org.br/en/article/osmolalidade-de-solucao-de-glicose-e-eletrolitos-utilizada-por-via-intravenosa-em-neonatos-2/

Klippel CSC. Validação de um protocolo de inserção e controle de cateter central de inserção periférica pelo enfermeiro na clientela pediátrica [dissertation on the Internet]. Rio de Janeiro: Universidade Federal do Estado do Rio de Janeiro; 2015. [cited 2019 Jan 16]. 153 p. Available from: http://www.unirio.br/ppgenf/dissertacoes/dissertacoes-ppgenf-unirio-ano-2015/dissertacao-chistina-klippel

Sá Neto JA, Silva ACSS, Vidal AR, Knupp VMMAO, Barcia LLC, Barreto ACM. Nurses' knowledge of the peripherally inserted central catheter: local realities and global challenges. Rev enferm UERJ [Internet]. 2018 [cited 2021 May 19]; 26:e33181. Available from: https://www.e-publicacoes.uerj.br/index.php/enfermagemuerj/article/view/33181/27041

Prado NCC, Silva RAR, Costa RHS, Delgado MF. Non-elective removal of the peripherally inserted central catheter in the neonatal unit. Rev. Eletr. Enf. [Internet]. 2018 [cited 2019 Jan 6]; 20 (13). Available from: https://doi.org/10.5216/ree.v20.45559

Costa P, Paiva ED, Kimura AF, Castro, TE. Risk factors for bloodstream infection associated with peripherally inserted central catheters in neonates. Acta paul. enferm. [Internet]. 2016 [cited 2019 Jan 6]; 29 (2): 161-8. Available from: https://www.scielo.br/pdf/ape/v29n2/en_1982-0194-ape-29-02-0161.pdf

Mittang BT, Stiegler G, Kroll C, Schultz LF. Peripherally inserted central catheter in newborns: removal factors. Rev. baiana enferm. [Internet]. 2020 [cited 2021 May 19] ; 34: e38387. Available from: https://periodicos.ufba.br/index.php/enfermagem/article/view/38387/23227

Yonekura MY, Abramczyk ML, Lapchik MS. Utilização de cateter central de inserção periférica e ocorrência da infecção da corrente sanguínea em uma Unidade de Terapia Intensiva Neonatal. Vig Sanit Debate [Internet]. 2015 [cited 2019 Jan 6]; 3 (1): 93-96. Available from: <https://visaemdebate.incqs.fiocruz.br/index.php/visaemdebate/article/view/251/180>

Barreiros LL, Andrade FM, Torres RA, Magalhães LVB, Farnetano BS, Fiorelli RKA. Cardiac tamponade by peripherally inserted central catheter in preterm infants: role of bedside ultrasonography and therapeutic approach. Rev. Col. Bras. Cir. [Internet]. 2018 [cited 2019 Jan 6]; 45 (3). Available from: https://www.scielo.br/j/rcbc/a/VmrntXcvCNhCvbGTYKTbsQv/?format=pdf&lang=en

Lopes MLNC, Silva ACS, Marciel MPGS, Santos TS. Utilização do cateter central de inserção periférica na unidade de terapia intensiva neonatal. Rev iberoam Educ investi Enferm. [Internet]. 2018 [cited 2021 May 18];8(1):15-25. Available from: https://www.enfermeria21.com/revistas/aladefe/articulo/271/utilizacao-do-cateter-central-de-insercao-periferica-na-unidade-de-terapia-intensivaneonatal/

Pereira HP, Makush MV, Freitas JS, Secco IL, Dansk MTR. Cateter Central de Inserção Periférica: práticas de enfermeiros na atenção intensiva neonatal. Enferm. Foco [Internet]. 2020 [cited 2021 May 20]; 10(4): 188-183. Available from: http://revista.cofen.gov.br/index.php/enfermagem/article/view/3193/970

Ferreira CP, Querido DL, Christoffel MM, Almeida VS, Andrade M, Leite HC. The use of peripherally inserted central venous catheter in the Neonatal Intensive Care Unit. Rev. Eletr. Enferm. [Internet]. 2020 [cited 2021 May 19]; 22:56923, 1-8. Available from: https://www.revistas.ufg.br/fen/article/view/56923/34995

Silva MPC, Bragato AGC, Ferreira DO, Zago LB, Toffano SEM, Nicolussi AC, et al. Bundle for handling peripherally inserted central catheter in newborns. Acta Paul Enferm [Internet]. 2019 [cited 2021 May 22];32(3):261-66. Available from: http://dx.doi.org/10.1590/1982-0194201900036

Wen J, Yu Q, Chen H, Chen N, Huang S, Cai W. Peripherally inserted central venous catheter-associated complications exert negative effects on body weight gain in neonatal intensive care units. Asia Pac J Clin Nutr [Internet]. 2017 [cited 2020 Jan 9]; 26: 556-559. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28049254.

Jumani K, Advani S, Reich NG, Gosey L, Milstone AM. Risk Factors for Peripherally Inserted Central Venous Catheter Complications in Children. JAMA Pediatric [Internet]. 2013 [cited 2020 Jan 9]; 167 (5): 429-435. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647026/.

Delarbre B, Dabadie A, Stremler-Lebel N, Jolibert M, Cassagneau P, Lebel S et al. Introduction of the use of a pediatric PICC line in a French University Hospital: review of the first 91 procedures. Diagnostic and interventional imaging [Internet]. 2014 [cited 2020 Jan 10]; 95 (3): 277–81. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24603039

Smith SN, Moureau N, Vaughn VM, Boldenow T, Kaatz S, Grant PJ et al. Patteerns and prediction of PICC occlusion: the 3 P-O study. Journal Interv Radiol [Internet]. 2017 [cited 2019 Jan 12]; 28:749-56. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28292637

Salgueiro-Oliveira AS, Basto ML, Braga LM, Arreguy-Sena C, Melo MN, Parreira PMSD. Nursing practices in peripheral venous catheter: phlebitis and patient safety. Texto Contexto Enferm [Internet]. 2019 [cited 2021 May 20];28:e20180109. Available from: https://doi.org/10.1590/1980-265x-tce-2018-0109

Figueiredo ML, D’innocenzo M. Adverse events related to pratical assistence: an integrative review Enferm Global [Internet]. 2017 [cited 2021 May 21];16(47):636-50. Available from: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412017000300605&lng=es&nrm=iso&tlng=en.

Published
02-04-2024
How to Cite
[1]
Godeiro, A.L. da S. et al. 2024. Non-elective removal of Peripherally Inserted Central Catheter: cross-sectional study. Global Nursing. 23, 2 (Apr. 2024), 316–350. DOI:https://doi.org/10.6018/eglobal.585841.
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