Abstract
to assess the use of peripherally inserted central catheters regarding the neonate's profile, indications for use, and catheterized vein; the relation between the number of puncture attempts and vein; and assessment of the catheter tip position. documentary, descriptive, retrospective, quantitative study, developed in a tertiary maternity hospital in Ceará. A total of 3,005 PICC insertion formularies was included and 1,583 were excluded due to incomplete data, with a convenience sampling of 1,422 insertions being obtained. There were 1,200 (84.4%) newborns with gestational age below 37 weeks; 781 (54.9%) males; Apgar score above 7 in the first (628-44.2%) and fifth minutes (1,085-76.3%); and weight between 1,000 and 1,499 grams on the day of insertion (417-29.3%). Antibiotic therapy had 1,155-53.8% indications for insertion; the basilic was the most used vein (485-34.1%); basilic and cephalic veins had lower median puncture attempts and 1,124-79% insertions were centrally positioned. The results of this research highlight the continuous need to improve technical-scientific knowledge to qualify actions in neonatology.
Highlights
Newborns admitted to a neonatal unit require individualized care, according to the complexity of the clinical picture
The study was carried out in a Conventional Neonatal Intermediate Care Unit (CNICU) and in a Neonatal Intensive Care Unit (NICU) of a tertiary maternity hospital that is a reference in the state of Ceará and provides teaching, research, and health care, with open door to care for pregnant women and high- and low-risk newborns, women with gynecological and breast disorders, abortions, and victims of sexual violence
As for the most prevalent indication, antibiotic therapy (n = 1,155; 53.8%) is highlighted, followed by parenteral nutrition (n = 701; 32.6%), as the most used during Peripherally Inserted Central Catheter (PICC) use
Summary
Newborns admitted to a neonatal unit require individualized care, according to the complexity of the clinical picture. The care team works aiming to restore health, quality of life, healthy growth and development of these newborns, who are mostly premature, undergoing invasive procedures, requiring knowledge and constant improvement from professionals[1]. The use of intravenous therapy is critical in the health recovery of newborns admitted to a neonatal unit. “Venipuncture consists of inserting a device inside the vessel, guided by indications and techniques, as well as the selection and use of appropriate material for this invasive procedure. Theoretical, scientific and technical knowledge are essential to obtain a venous access that guarantees safe infusion of irritating and vesicant solutions, with the Peripherally Inserted Central Catheter (PICC) being indicated for newborns undergoing intravenous therapy for a prolonged time[3]
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