Placement and Maintenance of Peripheral Insertion Central Catheter, in pediatric patients of the Hospital de Niños Santísima Trinidad de Córdoba,1/1/2019 to 31/12/2020
DOI:
https://doi.org/10.59843/2618-3692.v24.n41.41468Keywords:
Access, venous, peripheral, percutaneous, pediatrics, complications, nursingAbstract
Pediatric patients with prolonged hospitalization and complex pathologies require a reliable and long-lasting venous route, the most useful and effective procedure being the placement of a Peripherally Inserted Central Catheter (PICC), due to its stability. Replacement is less frequent and its use is more comfortable in these patients. The objective was to describe clinical and technical aspects of the effective placement and maintenance of PICC in Pediatric patients of the Hospital de Niños Santísima Trinidad de Córdoba, in the period 1/1/2019 to 12/31/2020. The study was descriptive, cross-sectional , retrospective, which includes, in the universe, 85 patients who actually had the PICC placed, not taking a sample because this universe is small. The main findings indicate that in the children in whom this technique was used, 32.5% were patients hospitalized for Cystic Fibrosis, followed by 31% for Acute Abdomen and the rest for other pathologies. The prevailing age was 6 to 10 years, 41.5%. In relation to where it was implemented, the largest number of PICCs were placed in the general boarding school 67%, followed by the ICU with 29.5% and lastly the Critical Care Unit with 2%. Regarding vascular integrity, of the patients at the time of PICC placement, the regular one predominated, with 47%. Regarding durability, we determined that the longest duration was 67 days, with a general average of between 11 and 20 days of 56%. Being the main reason for catheter removal, having completed the treatment 78%; the complications that appeared were: occlusion 8%, phlebitis 5.5%, rupture 5.5%, accidental extraction 3%. The prevalent puncture site was the basilic vein, with 78% and the catheter tip was located in the superior vena cava in 95%, the number of punctures required for its placement was 74.5% for one puncture. Regarding the diameter of the catheter, the following were used: 3-french 79.5%, 4-french 15.5% and 2-french 5%. Being 96% polyurethane material. and double lumens 87%.
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References
1. Antonio Chumillas Fernández, Natividad Sánchez González, María Dolores Sánchez Córcoles. “Plan de cuidados para la prevención de Flebitis por inserción de catéter periférico” Revista de Enfermería. Albacete. Nº 15. Abril, 2002.
2. Solange Antonia Lourenco; Conceico Vieira da Silva Ohara“Conocimiento de los enfermeros sobre la técnica de inserción del catéter central de inserción periférica en recién nacidos” Print version ISSN 0104-1169 Rev. Latino-Am. Enfermagem vol.18 no.2 Ribeirão Preto Mar./Apr. 2010
3. D.R. © 2012 Secretaría de Salud Subsecretaría de Integración y Desarrollo del Sector Salud Dirección General de Calidad y Educación en Salud Dirección de Enfermería Comisión Permanente de Enfermería “protocolo para el manejo estandarizado del paciente con catéter periférico, central y permanente” Primera Edición: marzo de 2012
4. Equipo PICC Enfermería Instituto Donostia de Onco - Hematología Hospital Universitario Donostia “PICC Cuidados de enfermería “marzo 2012
5. Badheka, Aditya; Bloxham, Jodi; Schmitz, April; Freyenberger, Barbara; Wang, Tong; Rampa, Sankeerth; Turi, Jennifer; Allareddy, Veerasathpurush; Auslender, Marcelo; Allareddy, Veerajalandhar.Outcomes associated with peripherally inserted central catheters in hospitalised children: a retrospective 7-year single-centre experience. BMJ Open ; 9(8): e026031, 2019 Aug 22.
6. Lacostena-Pérez, ME; Buesa-Escar, AM; Gil-Alós, AM.Complications related to the insertion and maintenance of peripheral venous access central venous catheter Enferm. intensiva (Ed. impr.); 30(3): 116-126, jul.-sept. 2019. tab
7. Prayle AP, Hurley MN, Smyth AR. “Percutaneous lines for delivering intravenous antibiotics in people with cystic fibrosis (Review)”. Cochrane Database of Systematic Reviews 2010, Issue 11. Art. No.: CD008243
8. Guzmán, Marina; Quinteros, Mariela; Reynoso, Gabriela; Salvatico, Estela. “Factores que influyen en la aparición de complicaciones en los Accesos Venosos Percutáneos en los RN a término y pre termino críticos del servicio de neonatología del SA en el periodo del 1/1 al 1/9/2006. 2006”. Revista Notas de Enfermería 2006 (9):9-13
9. Jesus, VC; Secoli, SR. Complicações acerca do cateter venoso central de inserção periférica (PICC). Cienc Cuid Saude 2007 Abr/Jun;6(2):252-260
10. Li, Renfeng; Cao, Xia; Shi, Tian; Xiong, Lei. Application of peripherally inserted central catheters in critically ill newborns experience from a neonatal intensive care unit. Medicine (Baltimore) ; 98(32): e15837, 2019 Aug.
11. Rodríguez Valiente, Sonia;Jara Valiño, Francisco Javier; Romero Barranco, María: Revista Catéter venoso central de acceso periférico (PICC): Técnica y cuidados de Enfermería. Electrónica de PortalesMedicos.com – ISSN 1886-892417 junio, 2017
12. Silva Bretas, Tereza Cristina; Silva Fagundes, Magna Ferreira; Versiani, Clara De Cássia Y Marques Andrade, Frederico. Conocimiento del equipo de enfermería sobre la inserción y mantenimiento del catéter central de inserción periférica en recién nacidos. Enferm. glob. [online]. 2013, vol.12, n.32, pp.11-20. ISSN 1695-6141.
13. Miriam Flores Morenoa Karina Saray Pueblas Bedoya Aurelia Ojeda Sáncheza Jessie Zurita-Cruzb-.Factores de riesgo asociados con complicaciones que obligaron al retiro de catéteres venosos centrales de inserción periférica en un hospital pediátrico de tercer nivel Bol. Med. Hosp. Infant.Mex. vol.74 no.4 México jul./ago. 2017
14. Molina Caballero, M. Martínez Merino, A. Pérez Martínez, L. Ayuso González, S. Hernández Martín, J. Pisón Chacón. Catéteres centrales de inserción periférica: un ahorro, una comodidad, muchas ventajas A.Y. Servicio de Cirugía Pediátrica, 2UCI Pediátrica. Complejo Hospitalario de Navarra. Pamplona.
15. Paula Elaine Diniz dos Reis; Emilia Campos Carvalho; Paula Corolina Pire s Bueno; Jairo Kenupp Bastos “Aplicación clínica de la Chamomilla recutica en flebitis: estudio de la curva dosis- respuestas”Print versión ISSN 0104-1169 Rev. Latino-Am. Enfermagem vol.19 no.2 Ribeirão Preto Jan./Feb. 2010
16. Aditya Badheka 1, Jodi Bloxham 2, abril schmitz 2, Bárbara Freyenberger 2, Ton Wang 3, Sankeerth Rampa 4, jennifer turi 5, Veerasathpurush Allareddy 6, marcelo auslender 2, Veerajalandhar Allareddy 2Resultados asociados con catéteres centrales insertados periféricamente en niños hospitalizados: una experiencia retrospectiva de 7 años en un solo centro PMID: 31444177 PMCID: PMC6707696
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