Inadequate positioning of central venous catheters inserted at intensive care units

Detalhes bibliográficos
Autor(a) principal: Santos,Álisson Vinicius dos
Data de Publicação: 2022
Outros Autores: Barbosa Neto,Edson Dias, Nunes Neto,Geraldo Vicente, Cavalcante,Raquel da Silva, Diniz,Ayanne Karla Ferreira, Freitas,Gustavo Rocha Costa, Araújo,Jaqueline Figueirôa Santos Barbosa de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Einstein (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100223
Resumo: ABSTRACT Objective To evaluate the positioning of the distal tip of central venous catheters and the factors that contributed to inadequate positioning in patients admitted to intensive care. Methods This is a cross-sectional study, with a sample of 246 medical records of patients admitted to intensive care units. A catheter position analysis form was used as an instrument for data collection. Results It was seen that 86.2% of catheters used in intensive care were centrally inserted in the internal jugular veins, 74.4% were double-lumen catheter, and ultrasound was employed for puncture technique in 84.6% of cases. Of the distal ends of the catheters, 53.7% were at the cavoatrial junction (correct position). According to statistical tests, there was a positive correlation between the inadequate positioning of the distal extremity with the central insertion catheter (p=0.012). Patients with presumptive diagnosis associated with COVID-19 showed a positive correlation with inappropriate positioning of the catheter distal tip (p=0.017). Conclusion There are extrinsic factors related to improper positioning of the distal tip of catheters, such as the type of catheter used, the patients’ diagnosis and the puncture with insertion in the left jugular vein.
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spelling Inadequate positioning of central venous catheters inserted at intensive care unitsCathetersRadiography, thoracicCentral venous cathetersPatient positioningABSTRACT Objective To evaluate the positioning of the distal tip of central venous catheters and the factors that contributed to inadequate positioning in patients admitted to intensive care. Methods This is a cross-sectional study, with a sample of 246 medical records of patients admitted to intensive care units. A catheter position analysis form was used as an instrument for data collection. Results It was seen that 86.2% of catheters used in intensive care were centrally inserted in the internal jugular veins, 74.4% were double-lumen catheter, and ultrasound was employed for puncture technique in 84.6% of cases. Of the distal ends of the catheters, 53.7% were at the cavoatrial junction (correct position). According to statistical tests, there was a positive correlation between the inadequate positioning of the distal extremity with the central insertion catheter (p=0.012). Patients with presumptive diagnosis associated with COVID-19 showed a positive correlation with inappropriate positioning of the catheter distal tip (p=0.017). Conclusion There are extrinsic factors related to improper positioning of the distal tip of catheters, such as the type of catheter used, the patients’ diagnosis and the puncture with insertion in the left jugular vein.Instituto Israelita de Ensino e Pesquisa Albert Einstein2022-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100223einstein (São Paulo) v.20 2022reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2022ao6497info:eu-repo/semantics/openAccessSantos,Álisson Vinicius dosBarbosa Neto,Edson DiasNunes Neto,Geraldo VicenteCavalcante,Raquel da SilvaDiniz,Ayanne Karla FerreiraFreitas,Gustavo Rocha CostaAraújo,Jaqueline Figueirôa Santos Barbosa deeng2022-04-05T00:00:00Zoai:scielo:S1679-45082022000100223Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2022-04-05T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false
dc.title.none.fl_str_mv Inadequate positioning of central venous catheters inserted at intensive care units
title Inadequate positioning of central venous catheters inserted at intensive care units
spellingShingle Inadequate positioning of central venous catheters inserted at intensive care units
Santos,Álisson Vinicius dos
Catheters
Radiography, thoracic
Central venous catheters
Patient positioning
title_short Inadequate positioning of central venous catheters inserted at intensive care units
title_full Inadequate positioning of central venous catheters inserted at intensive care units
title_fullStr Inadequate positioning of central venous catheters inserted at intensive care units
title_full_unstemmed Inadequate positioning of central venous catheters inserted at intensive care units
title_sort Inadequate positioning of central venous catheters inserted at intensive care units
author Santos,Álisson Vinicius dos
author_facet Santos,Álisson Vinicius dos
Barbosa Neto,Edson Dias
Nunes Neto,Geraldo Vicente
Cavalcante,Raquel da Silva
Diniz,Ayanne Karla Ferreira
Freitas,Gustavo Rocha Costa
Araújo,Jaqueline Figueirôa Santos Barbosa de
author_role author
author2 Barbosa Neto,Edson Dias
Nunes Neto,Geraldo Vicente
Cavalcante,Raquel da Silva
Diniz,Ayanne Karla Ferreira
Freitas,Gustavo Rocha Costa
Araújo,Jaqueline Figueirôa Santos Barbosa de
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Santos,Álisson Vinicius dos
Barbosa Neto,Edson Dias
Nunes Neto,Geraldo Vicente
Cavalcante,Raquel da Silva
Diniz,Ayanne Karla Ferreira
Freitas,Gustavo Rocha Costa
Araújo,Jaqueline Figueirôa Santos Barbosa de
dc.subject.por.fl_str_mv Catheters
Radiography, thoracic
Central venous catheters
Patient positioning
topic Catheters
Radiography, thoracic
Central venous catheters
Patient positioning
description ABSTRACT Objective To evaluate the positioning of the distal tip of central venous catheters and the factors that contributed to inadequate positioning in patients admitted to intensive care. Methods This is a cross-sectional study, with a sample of 246 medical records of patients admitted to intensive care units. A catheter position analysis form was used as an instrument for data collection. Results It was seen that 86.2% of catheters used in intensive care were centrally inserted in the internal jugular veins, 74.4% were double-lumen catheter, and ultrasound was employed for puncture technique in 84.6% of cases. Of the distal ends of the catheters, 53.7% were at the cavoatrial junction (correct position). According to statistical tests, there was a positive correlation between the inadequate positioning of the distal extremity with the central insertion catheter (p=0.012). Patients with presumptive diagnosis associated with COVID-19 showed a positive correlation with inappropriate positioning of the catheter distal tip (p=0.017). Conclusion There are extrinsic factors related to improper positioning of the distal tip of catheters, such as the type of catheter used, the patients’ diagnosis and the puncture with insertion in the left jugular vein.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100223
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100223
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.31744/einstein_journal/2022ao6497
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
publisher.none.fl_str_mv Instituto Israelita de Ensino e Pesquisa Albert Einstein
dc.source.none.fl_str_mv einstein (São Paulo) v.20 2022
reponame:Einstein (São Paulo)
instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
instacron:IIEPAE
instname_str Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
instacron_str IIEPAE
institution IIEPAE
reponame_str Einstein (São Paulo)
collection Einstein (São Paulo)
repository.name.fl_str_mv Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)
repository.mail.fl_str_mv ||revista@einstein.br
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