Complications of the subcutaneous route in the infusion of medications and solutions in palliative care

Detalhes bibliográficos
Autor(a) principal: Guedes, Natália de Almeida Barbosa
Data de Publicação: 2019
Outros Autores: Melo, Laís Samara de, Santos, Fernanda Batista Oliveira, Barbosa, Jaqueline Almeida Guimarães
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Rev Rene (Online)
Texto Completo: http://periodicos.ufc.br/rene/article/view/40933
Resumo: Objective: to characterize the complications associated with the use of the subcutaneous route for infusion of drugs and solutions in palliative care. Methods: observational, prospective study conducted at the Palliative Care Unit of a general teaching hospital. Results: the study analized seventy-eight patients in palliative care, in whom 254 punctures for infusion of drugs and/or solutions through the subcutaneous route were made. Most patients were elderly (87.3%) and malnourished (69.2%). In 33.0%, the route was indicated for symptom control; in 50.0%, the puncture occurred in the anterolateral thigh flap; 65.4% of the punctures showed no complication. Among the identified complications, 9.4% were edema and 9.1% hyperemia, and 53.8% occurred in the deltoid region. Cellulite occurred in only 3.5%. Conclusion: the infusion of solutions using the subcutaneous route can be considered a safe alternative, with risk of complications which are mostly reversible and with low potential to cause damage to patients.
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spelling Complications of the subcutaneous route in the infusion of medications and solutions in palliative careComplicações da via subcutânea na infusão de medicamentos e soluções em cuidados paliativosNursing Care; Hypodermoclysis; Palliative Care; Infusions, Subcutaneous.Cuidados de Enfermagem; Hipodermóclise; Cuidados Paliativos; Infusões Subcutâneas.Objective: to characterize the complications associated with the use of the subcutaneous route for infusion of drugs and solutions in palliative care. Methods: observational, prospective study conducted at the Palliative Care Unit of a general teaching hospital. Results: the study analized seventy-eight patients in palliative care, in whom 254 punctures for infusion of drugs and/or solutions through the subcutaneous route were made. Most patients were elderly (87.3%) and malnourished (69.2%). In 33.0%, the route was indicated for symptom control; in 50.0%, the puncture occurred in the anterolateral thigh flap; 65.4% of the punctures showed no complication. Among the identified complications, 9.4% were edema and 9.1% hyperemia, and 53.8% occurred in the deltoid region. Cellulite occurred in only 3.5%. Conclusion: the infusion of solutions using the subcutaneous route can be considered a safe alternative, with risk of complications which are mostly reversible and with low potential to cause damage to patients.Objetivo: caracterizar as complicações associadas ao uso da via subcutânea na infusão de medicamentos e soluções em cuidados paliativos. Métodos: estudo observacional, prospectivo, realizado na Unidade de Cuidados Paliativos de um hospital geral de ensino. Resultados: foram avaliados 78 pacientes em cuidados paliativos, nos quais foram realizadas 254 punções na via subcutânea para infusão de medicamentos e/ou soluções. A maioria era idosa (87,3%) e encontrava-se desnutrida (69,2%). Em 33,0%, a via foi indicada para controle de sintomas e, em 50,0%, a punção ocorreu na região anterolateral da coxa; 65,4% das punções não mostraram complicação. Dentre as complicações identificadas, 9,4% foram edema e 9,1% hiperemia, sendo que 53,8% delas ocorreram na região deltoidea. A celulite ocorreu em apenas 3,5%. Conclusão: a infusão de soluções pode ser considerada uma alternativa segura, a qual apresenta risco de complicações em sua maioria facilmente reversíveis e com baixo potencial de ocasionar danos aos pacientes.Universidade Federal do Ceará2019-09-25info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionEstudo Observacionalapplication/pdfapplication/pdfhttp://periodicos.ufc.br/rene/article/view/4093310.15253/2175-6783.20192040933Rev Rene; Vol 20 (2019): Rev Rene; e40933Rev Rene; v. 20 (2019): Rev Rene; e409332175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCporenghttp://periodicos.ufc.br/rene/article/view/40933/99343http://periodicos.ufc.br/rene/article/view/40933/99344Copyright (c) 2019 Rev Renehttps://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessGuedes, Natália de Almeida BarbosaMelo, Laís Samara deSantos, Fernanda Batista OliveiraBarbosa, Jaqueline Almeida Guimarães2020-05-28T15:34:47Zoai:periodicos.ufc:article/40933Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2020-05-28T15:34:47Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
Complicações da via subcutânea na infusão de medicamentos e soluções em cuidados paliativos
title Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
spellingShingle Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
Guedes, Natália de Almeida Barbosa
Nursing Care; Hypodermoclysis; Palliative Care; Infusions, Subcutaneous.
Cuidados de Enfermagem; Hipodermóclise; Cuidados Paliativos; Infusões Subcutâneas.
title_short Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
title_full Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
title_fullStr Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
title_full_unstemmed Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
title_sort Complications of the subcutaneous route in the infusion of medications and solutions in palliative care
author Guedes, Natália de Almeida Barbosa
author_facet Guedes, Natália de Almeida Barbosa
Melo, Laís Samara de
Santos, Fernanda Batista Oliveira
Barbosa, Jaqueline Almeida Guimarães
author_role author
author2 Melo, Laís Samara de
Santos, Fernanda Batista Oliveira
Barbosa, Jaqueline Almeida Guimarães
author2_role author
author
author
dc.contributor.author.fl_str_mv Guedes, Natália de Almeida Barbosa
Melo, Laís Samara de
Santos, Fernanda Batista Oliveira
Barbosa, Jaqueline Almeida Guimarães
dc.subject.por.fl_str_mv Nursing Care; Hypodermoclysis; Palliative Care; Infusions, Subcutaneous.
Cuidados de Enfermagem; Hipodermóclise; Cuidados Paliativos; Infusões Subcutâneas.
topic Nursing Care; Hypodermoclysis; Palliative Care; Infusions, Subcutaneous.
Cuidados de Enfermagem; Hipodermóclise; Cuidados Paliativos; Infusões Subcutâneas.
description Objective: to characterize the complications associated with the use of the subcutaneous route for infusion of drugs and solutions in palliative care. Methods: observational, prospective study conducted at the Palliative Care Unit of a general teaching hospital. Results: the study analized seventy-eight patients in palliative care, in whom 254 punctures for infusion of drugs and/or solutions through the subcutaneous route were made. Most patients were elderly (87.3%) and malnourished (69.2%). In 33.0%, the route was indicated for symptom control; in 50.0%, the puncture occurred in the anterolateral thigh flap; 65.4% of the punctures showed no complication. Among the identified complications, 9.4% were edema and 9.1% hyperemia, and 53.8% occurred in the deltoid region. Cellulite occurred in only 3.5%. Conclusion: the infusion of solutions using the subcutaneous route can be considered a safe alternative, with risk of complications which are mostly reversible and with low potential to cause damage to patients.
publishDate 2019
dc.date.none.fl_str_mv 2019-09-25
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Estudo Observacional
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/40933
10.15253/2175-6783.20192040933
url http://periodicos.ufc.br/rene/article/view/40933
identifier_str_mv 10.15253/2175-6783.20192040933
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/40933/99343
http://periodicos.ufc.br/rene/article/view/40933/99344
dc.rights.driver.fl_str_mv Copyright (c) 2019 Rev Rene
https://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2019 Rev Rene
https://creativecommons.org/licenses/by-nc/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol 20 (2019): Rev Rene; e40933
Rev Rene; v. 20 (2019): Rev Rene; e40933
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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