INCIDENTES DE SEGURANÇA COM CATETERES VENOSOS PERIFÉRICOS DURANTE A TERAPIA INTRAVENOSA EM CRIANÇAS HOSPITALIZADAS

• Autor(a) principal: Isis Ferraz Barbosa
• Data de Publicação: 2023
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFMS
• Texto Completo: https://repositorio.ufms.br/handle/123456789/6395
• topic: -Enfermagem Pediátrica; Segurança do Paciente; Infecções Relacionadas a Cateter; Flebite; Infusões Intravenosas.

The identification of safety incidents related to peripheral venous catheters in pediatrics and their characteristics can support actions for the reorganization of work processes and risk prevention, in addition to broadening the focus on peripheral venous catheterization in children. Safety incidents related to peripheral venous catheters are a problem arising from intravenous therapy and the handling of catheters, relevant for the pediatric population, due to the complex processes involved and the numerous professionals involved. The difficulty in maintaining the device until the conclusion of the treatment is common, and is often caused by the complexity of its management, resulting in prolonged hospitalization and increased costs associated with the treatment. With the scarce research on the subject, there is no consensus on the most effective form of management, where conducts are based much more on historical practice than on scientific evidence. The objective was to identify safety incidents with peripheral venous catheters during intravenous therapy in hospitalized children. Observational, descriptive, longitudinal, prospective study with a quantitative approach and convenience sample, through the analysis of 39 catheters, in the period from 01/03/2022 to 06/23/2023, of patients aged 4 months to 12 years, by collecting data from medical records and sequential observation of the analyzed catheters. Data were tabulated in an Excel® spreadsheet and analyzed using the EPI INFO™ 7.2.5 program. To verify the association between the presence of complications and the other variables, Fisher's exact test was used, considering a significance level of 5%. It was evidenced that the main ones involved were aged between 4 months and 4 years and male (68.7%), and in treatment of diseases of the respiratory system (28.6%). The type of flexible catheter was the only type used, with a predominance of gauges 22 and 24. The occurrence of incidents was not significantly associated with catheter characteristics, catheter gauge (p=0.74), patient mobility (p=1, 0), professional responsible for the venipuncture procedure (p=0.53), site (p=1.0) and insertion veins (p=0.74), type of dressing used (p=1.0), connections present (p=0.53) and use of infusion pump. The occurrence of incidents was present in 64.1% of the analyzed catheters. The incidence rates found were: 33% had obstruction, 12.8% phlebitis, 10.3% infiltration, 7.7% extravasation and 35.9% had no complications. The results show that an analysis of safety incidents offers crucial elements to elucidate existing weaknesses and potentialities, in addition to strengthening publications related to peripheral venous catheterization in pediatrics. Understanding the population profile and its associations will allow the adoption of actions aimed at the culture of safety and quality of pediatric care.