Reasons for non-elective removal of epicutaneous catheters in neonates

Detalhes bibliográficos
Autor(a) principal: Paiva, Eny Dorea
Data de Publicação: 2013
Outros Autores: Costa, Priscila, Kimura, Amelia Fumiko, Castro, Talita Elci de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista da Escola de Enfermagem da USP (Online)
Texto Completo: https://www.revistas.usp.br/reeusp/article/view/78089
Resumo: This study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheter-related bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates.
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spelling Reasons for non-elective removal of epicutaneous catheters in neonatesCausas de retiro no electivo del cateter epicutaneo en neonatosCausas de remocao nao eletiva do cateter epicutaneo em neonatosThis study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheter-related bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates.El objetivo fue describir la incidencia y las razones del retiro no electivo del catéter epicutáneo en neonatos, verificando la asociación con el sitio de inserción. Estudio de cohorte prospectiva conducido en una unidad de cuidados intensivos neonatales de un hospital privado terciario, en la ciudad de São Paulo, Brasil. Fueron analizados 266 inserciones de catéteres. La incidencia de retiro no electivo del catéter epicutáneo fue de 39,1%. Las complicaciones post-inserción más frecuentes fueron la sospecha de infección del torrente sanguíneo relacionada al catéter (25%) y ruptura (23,1%). La mayoría de los catéteres fueron insertados en el hemisferio corporal derecho (65%), en la extremidad superior (77,1%) y en la vena axilar (31,2%). Los resultados sugieren no haber asociación entre el sitio de inserción del catéter y la incidencia del retiro no electivo. Es de competencia de Enfermería implementar estrategias para mejorar la práctica asistencial con el fin de disminuir la frecuencia del retiro no electivo del catéter epicutáneo en neonatos.Objetivou-se descrever a incidência e as razões de remoção não eletiva do cateter epicutâneo em neonatos, verificando a associação com o sítio de inserção. Estudo de coorte prospectivo realizado em unidade de cuidado intensivo neonatal de um hospital privado terciário na cidade de São Paulo. Foram analisadas 266 inserções de cateter epicutâneo. A incidência de remoção não eletiva foi 39,1%. As complicações pós-inserção mais frequentes foram suspeita de infecção de corrente sanguínea relacionada ao cateter (25%) e ruptura (23,1%). A maioria dos cateteres foi inserida através do hemisfério corporal direito (65%), membros superiores (77,1%) e veias axilares (31,2%). Os resultados sugerem não haver associação entre a incidência de remoção não eletiva e o sítio de inserção do cateter epicutâneo em neonatos. Compete à Enfermagem implementar estratégias para a melhoria da prática assistencial a fim de diminuir a frequência de remoções não eletivas do cateter epicutâneo em neonatos.Universidade de São Paulo. Escola de Enfermagem2013-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/reeusp/article/view/7808910.1590/reeusp.v47i6.78089Revista da Escola de Enfermagem da USP; v. 47 n. 6 (2013); 1279-1284Revista da Escola de Enfermagem da USP; Vol. 47 No. 6 (2013); 1279-1284Revista da Escola de Enfermagem da USP; Vol. 47 Núm. 6 (2013); 1279-12841980-220X0080-6234reponame:Revista da Escola de Enfermagem da USP (Online)instname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/reeusp/article/view/78089/82155https://www.revistas.usp.br/reeusp/article/view/78089/82156http://creativecommons.org/licenses/by-nc/4.0info:eu-repo/semantics/openAccessPaiva, Eny DoreaCosta, PriscilaKimura, Amelia FumikoCastro, Talita Elci de2014-04-01T19:20:21Zoai:revistas.usp.br:article/78089Revistahttps://www.revistas.usp.br/reeuspPUBhttps://www.revistas.usp.br/reeusp/oai||nursingscholar@usp.br1980-220X0080-6234opendoar:2014-04-01T19:20:21Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Reasons for non-elective removal of epicutaneous catheters in neonates
Causas de retiro no electivo del cateter epicutaneo en neonatos
Causas de remocao nao eletiva do cateter epicutaneo em neonatos
title Reasons for non-elective removal of epicutaneous catheters in neonates
spellingShingle Reasons for non-elective removal of epicutaneous catheters in neonates
Paiva, Eny Dorea
title_short Reasons for non-elective removal of epicutaneous catheters in neonates
title_full Reasons for non-elective removal of epicutaneous catheters in neonates
title_fullStr Reasons for non-elective removal of epicutaneous catheters in neonates
title_full_unstemmed Reasons for non-elective removal of epicutaneous catheters in neonates
title_sort Reasons for non-elective removal of epicutaneous catheters in neonates
author Paiva, Eny Dorea
author_facet Paiva, Eny Dorea
Costa, Priscila
Kimura, Amelia Fumiko
Castro, Talita Elci de
author_role author
author2 Costa, Priscila
Kimura, Amelia Fumiko
Castro, Talita Elci de
author2_role author
author
author
dc.contributor.author.fl_str_mv Paiva, Eny Dorea
Costa, Priscila
Kimura, Amelia Fumiko
Castro, Talita Elci de
description This study aimed to describe the incidence and reasons for nonelective removal of epicutaneous catheters in neonates, identifying its association with the catheter insertion site. This was a prospective cohort study, conducted in a neonatal intensive care unit of a private tertiary hospital in the city of São Paulo, Brazil. We analyzed 266 epicutaneous catheter insertions. The incidence of non-elective removal was 39.1%. The most frequent post-insertion complications were suspicion of catheter-related bloodstream infection (25%) and rupture (23.1%). Most catheters were inserted through the right side of the body (65%), in upper limbs (77.1%), and using the axillary veins (31.2%). The findings did not suggest association between the incidence of non-elective removal and the insertion site of the epicutaneous catheter in neonates. Nurses should implement strategies to improve care and decrease incidence of non-elective epicutaneous catheter removals among neonates.
publishDate 2013
dc.date.none.fl_str_mv 2013-12-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/78089
10.1590/reeusp.v47i6.78089
url https://www.revistas.usp.br/reeusp/article/view/78089
identifier_str_mv 10.1590/reeusp.v47i6.78089
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/reeusp/article/view/78089/82155
https://www.revistas.usp.br/reeusp/article/view/78089/82156
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by-nc/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://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 de São Paulo. Escola de Enfermagem
publisher.none.fl_str_mv Universidade de São Paulo. Escola de Enfermagem
dc.source.none.fl_str_mv Revista da Escola de Enfermagem da USP; v. 47 n. 6 (2013); 1279-1284
Revista da Escola de Enfermagem da USP; Vol. 47 No. 6 (2013); 1279-1284
Revista da Escola de Enfermagem da USP; Vol. 47 Núm. 6 (2013); 1279-1284
1980-220X
0080-6234
reponame:Revista da Escola de Enfermagem da USP (Online)
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista da Escola de Enfermagem da USP (Online)
collection Revista da Escola de Enfermagem da USP (Online)
repository.name.fl_str_mv Revista da Escola de Enfermagem da USP (Online) - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||nursingscholar@usp.br
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