Abstract

to analyze the results of insertion procedures of Peripherally Inserted Central Catheters in newborns using two measurement methods. this is a randomized clinical trial, presenting descriptive and exploratory results of variables. It was held at a Neonatal Intensive Care Unit. Data were collected between September 2018 and 2019. The sample analyzed was 88 catheter insertion procedures, distributed in two groups. Study approved by an Institutional Review Board and obtained registration in the country and abroad. Descriptive analysis and logistic regression of data. modified measurement obtained a significant difference for the central catheter tip location. Elective removals and adverse events were not significant between groups; however, poor positioning was related to adverse events. between the two methods analyzed, the modified measurement obtained better results in the proper catheter tip positioning and, consequently, less risk to patients.

Highlights

  • IntroductionAmong the various devices used for this purpose, Peripherally Inserted Central Catheter, known as PICC, has been widely used in neonatal intensive care

  • In Neonatal Intensive Care Units (NICU), newborns may need complex assistance interventions to maintain and improve their clinical stability, including inserting intravenous devices that allow infusion therapies with drugs and therapeutic fluids[1,2].Among the various devices used for this purpose, Peripherally Inserted Central Catheter, known as PICC, has been widely used in neonatal intensive care

  • The results express data referring to 88 procedures for inserting PICC in the upper limbs, 44 from Control Group (CG) and 44 from Experimental Group (EG)

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Summary

Introduction

Among the various devices used for this purpose, Peripherally Inserted Central Catheter, known as PICC, has been widely used in neonatal intensive care. Such a device is characterized by being a catheter inserted in a peripheral vein with progression and location in vessels close to the heart, indicating central positioning. Among the benefits of using PICC, we highlight prolonged use for the maintenance of intravenous therapy, since it is a medium and long-term catheter, reduction of the amount of peripheral punctures, reduction of pain, lower rates of bloodstream infection related to the central catheter and reduced need of venous dissection[3]

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