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

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 i...

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Autores principales: Salvático, Estela, Chávez, Nilda Cecilia, Oliva, Olga del Valle, Prado, Solange
Formato: Artículo revista
Lenguaje:Español
Publicado: Sanatorio Allende. Departamento de enfermería 2023
Materias:
Access
venous
peripheral
percutaneous
pediatrics
complications
nursing
Acceso
venoso
periférico
percutáneo
pediatría
complicaciones
enfermería
Acesso
percutâneo
pediatra
complicações
enfermagem
Acceso en línea:https://revistas.unc.edu.ar/index.php/notasenf/article/view/41468
Aporte de:
Notas de Enfermería de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-322
container_title_str Notas de Enfermería
language Español
format Artículo revista
topic Access
venous
peripheral
percutaneous
pediatrics
complications
nursing
Acceso
venoso
periférico
percutáneo
pediatría
complicaciones
enfermería
Acesso
venoso
periférico
percutâneo
pediatra
complicações
enfermagem
spellingShingle Access
venous
peripheral
percutaneous
pediatrics
complications
nursing
Acceso
venoso
periférico
percutáneo
pediatría
complicaciones
enfermería
Acesso
venoso
periférico
percutâneo
pediatra
complicações
enfermagem
Salvático, Estela
Chávez, Nilda Cecilia
Oliva, Olga del Valle
Prado, Solange
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
topic_facet Access
venous
peripheral
percutaneous
pediatrics
complications
nursing
Acceso
venoso
periférico
percutáneo
pediatría
complicaciones
enfermería
Acesso
venoso
periférico
percutâneo
pediatra
complicações
enfermagem
author Salvático, Estela
Chávez, Nilda Cecilia
Oliva, Olga del Valle
Prado, Solange
author_facet Salvático, Estela
Chávez, Nilda Cecilia
Oliva, Olga del Valle
Prado, Solange
author_sort Salvático, Estela
title 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
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
description 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%.
publisher Sanatorio Allende. Departamento de enfermería
publishDate 2023
url https://revistas.unc.edu.ar/index.php/notasenf/article/view/41468
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spelling I10-R322-article-414682023-11-04T19:03:59Z 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 Colocación y Mantenimiento de Catéter Central de Inserción Periférica, en pacientes pediátricos del Hospital de Niños Santísima Trinidad de Córdoba, 1/1/2019 al 31/12/2020 Colocação e Manutenção de Cateter Central de Inserção Periférica, em pacientes pediátricos do Hospital de Niños Santísima Trinidad de Córdoba,1/1/2019 a 31/12/2020 Salvático, Estela Chávez, Nilda Cecilia Oliva, Olga del Valle Prado, Solange Access venous peripheral percutaneous pediatrics complications nursing Acceso venoso periférico percutáneo pediatría complicaciones enfermería Acesso venoso periférico percutâneo pediatra complicações enfermagem 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%. Los pacientes pediátricos con internación prolongada y patologías complejas, requieren una vía venosa confiable y duradera, siendo el procedimiento más útil y eficaz la colocación de Catéter Central de Inserción Periférica (PICC), debido a su estabilidad. El reemplazo es menos frecuente y su uso es más cómodo en estos pacientes. El objetivo, fue describir aspectos clínicos y técnicos de la colocación efectiva y mantenimiento de PICC en pacientes Pediátricos del Hospital de Niños Santísima Trinidad de Córdoba, en el periodo 1/1/2019 al 31/12/2020.El estudio fue descriptivo, transversal, retrospectivo, que incluye, en el universo, 85 pacientes a los que se le colocaron efectivamente el PICC, no tomándose muestra por ser éste universo reducido. Los principales hallazgos indican, que en los niños en los que se utilizó esta técnica, el    32,5%     fueron pacientes internados por Fibrosis Quística, seguido del 31% por Abdomen Agudo y el resto por otras patologías. La edad prevalente fue de 6 a 10 años, 41,5%. En relación a donde se implementó, el mayor número de PICC fue colocado en el internado general 67%, seguido de la UCI con el 29,5%y por último Unidad de cuidados críticos con el 2%. Con respecto a la integridad vascular, de los pacientes al momento de colocación de la PICC predomina el regular, con el 47%. En cuanto a la durabilidad determinamos, que la mayor duración fue de 67 días, con un promedio general de entre 11 y 20 días del 56%. Siendo el motivo principal de extracción del catéter, haber finalizado el tratamiento 78%; las complicaciones que aparecieron fueron: oclusión 8%, flebitis 5,5%, ruptura 5,5%, extracción accidental 3% . El sitio de punción de prevalencia fue la vena basílica, con el 78% y la punta de catéter quedó situada en cava superior el 95%, el número de punciones que requirieron para su colocación, fue 74,5% por una punción. En lo referente al diámetro del catéter se utilizaron: de 3 french un 79,5%, de 4french 15,5% y de 2french un 5 %. Siendo de material de poliuretano el 96%  y de doble lúmenes el 87%. Os doentes pediátricos com internamento prolongado e patologias complexas requerem uma via venosa fiável e duradoura, sendo o procedimento mais útil e eficaz a colocação de Cateter Central de Inserção Periférica (PICC), devido à sua estabilidade. A substituição é menos frequente e seu uso é mais confortável nesses pacientes. O objetivo foi descrever aspectos clínicos e técnicos da colocação e manutenção efetiva do PICC em pacientes pediátricos do Hospital de Niños Santísima Trinidad de Córdoba, no período de 01/01/2019 a 31/12/2020. O estudo foi descritivo, transversal, retrospectivo, que inclui, no universo, 85 pacientes que efetivamente colocaram o PICC, não colhendo amostra porque esse universo é pequeno. Os principais achados indicam que nas crianças em que esta técnica foi utilizada, 32,5% eram pacientes internados por Fibrose Cística, seguidos de 31% por Abdome Agudo e o restante por outras patologias. A idade predominante foi de 6 a 10 anos, 41,5%. Em relação ao local de implantação, o maior número de PICCs foi colocado no internato geral 67%, seguido da UTI com 29,5% e por último Unidade de Terapia Intensiva com 2%. Em relação à integridade vascular, dos pacientes no momento da colocação do PICC, predominou a regular, com 47%. Em relação à durabilidade, determinamos que a maior duração foi de 67 dias, com média geral entre 11 e 20 dias de 56%. Sendo o principal motivo de retirada do cateter, tendo concluído o tratamento 78%; as complicações que apareceram foram: oclusão 8%, flebite 5,5%, ruptura 5,5%, extração acidental 3%. O local de punção prevalente foi a veia basílica, com 78% e a ponta do cateter localizava-se na veia cava superior em 95%, o número de punções necessárias para sua colocação foi de 74,5% para uma punção. Em relação ao diâmetro do cateter, foram utilizados: 3-french 79,5%, 4-french 15,5% e 2-french 5%. Sendo 96% material de poliuretano. e lúmens duplos 87%. Sanatorio Allende. Departamento de enfermería 2023-06-26 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/notasenf/article/view/41468 10.59843/2618-3692.v24.n41.41468 Notas de Enfermería; Vol. 24 Núm. 41 (2023): Notas de Enfermería; 67-74 2618-3692 1668-8821 10.59843/2618-3692.v24.n41 spa https://revistas.unc.edu.ar/index.php/notasenf/article/view/41468/41665 Derechos de autor 2023 Sanatorio Allende https://creativecommons.org/licenses/by-nc/4.0

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