رئوس مطالب

  • چکیده
  • معرفی
  • روش کار
  • نتایج
  • بحث
  • وقوع عوارض جانبی
  • عوامل خطر مرتبط به کاتتر
  • نتیجه گیری

Abstract

OBJECTIVE

To evaluate the incidence of complications related to the use of peripheral intravenous catheter in neonates and identify the associated risk factors.

METHOD

Prospective cohort study conducted in a Neonatal Intensive Care Unit. Participants were the hospitalized neonates undergoing peripheral intravenous puncture in the period from February to June 2013.

RESULTS

The incidence of complications was 63.15%, being infiltration/extravasation (69.89%), phlebitis (17.84%) and obstruction (12.27%). The risk factors were the presence of infection (p = 0.0192) and weight at the puncture day (p = 0.0093), type of intermittent infusion associated with continuous infusion (p <0.0001), endotracheal intubation (p = 0.0008), infusion of basic plan (p = 0.0027), total parenteral nutrition (P = 0.0002), blood transfusion associated with other infusions (p = 0.0003) and other drugs (p = 0.0004). Higher risk of developing complications in the first 48 hours after puncture.

CONCLUSION

A high rate of complications related to the use of peripheral intravenous catheter, and risk factors associated with infection, weight, drugs and infused solutions, and type of infusion.

Keywords: - - - - -

Conclusions

The incidence of complications related to PIVC in neonates hospitalized in the NICU was 63.15%, with predominance of infiltration/extravasation, followed by phlebitis and obstruction. Te risk factors for developing complications related to the use of catheters were: presence of infection and weight on the puncture day, type of infusion ‘intermittent infusion associated with continuous infusion’, EI concomitant with PIVC use, catheter use for infusion of basic plan, TPN, blood transfusion associated with other infusions and administration of other drugs. There was also an even greater risk of developing complications in the first 48 hours after puncture. Te intermittent infusion is the most suitable type for catheter maintenance. Te TPN administration is not recommended for PIVC. Te exclusive use of the catheter for blood transfusion reduces the risk of complications.

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