Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil
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Data
2013-11-08
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Universidade Federal de Goiás
Resumo
The Catheter Peripherally Inserted Central is a device used in intravenous therapy in
neonatal intensive care units and pediatric and in neonatal intermediate care units,
which promotes venous access safe for a long time and with a low rate of infection,
however, the use of this technology by being a complex process, may be subject to
adverse events. The aim of the study was to analyze the use of central venous
catheter peripherally inserted into a child public hospital from the perspective of
nurses, identify and classify the events in the stages of the process of insertion,
maintenance and removal of PICC and verify the procedures adopted in these events
and the consequences for patients. Descriptive analysis was performed of the
results, with minimum and maximum for continuous variables and absolute and
relative frequencies for categorical variables. Qualitative data were grouped and
categorized by approaching answers. Results The results showed a predominance of
females with an average age between 24-58 years and 5 or more years of
professional performance, function and institution. The working day was 30 hours per
week and 53.8% were specialists with training course for handling PICC. 84.6%
witnessed some kind of adverse event, 57.7% in the insertion, highlighting the
difficulty of progression / closing valve / capillary fragility; 84.6% in keeping with an
obstruction of the catheter 61.5% EA as mentioned, caused by the blood reflux, drug
incompatibility, poor permeabilization and lack of washing (flushing) of the catheter;
and 15.4% in recession, caused by rupture / breakage of the catheter. The adopted
clinical management were the exchange of venous access, monitoring, traction of the
catheter and pressure dressing in case of bleeding. The consequences for patients
were prolonged length of stay in the service, need to complement therapy and new
IV line installation. The results signaled the size of adverse event occurrences in the
safe use of PICC, the safety measures and quality of patient care, requiring the
training of nursing professionals, combined with a policy of promoting continuing
education activities and formulation strategies to minimize flaws and building a
professional and institutional culture of safety.
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SÁ, J. S. Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil. 2013. 129 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2013.