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新生儿外周静脉置入中心静脉导管测量方法。

Methods for measuring venous peripherally inserted central catheters in newborns.

机构信息

Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2021 Oct 18;75(2):e20210045. doi: 10.1590/0034-7167-2021-0045. eCollection 2021.

DOI:10.1590/0034-7167-2021-0045
PMID:34669907
Abstract

OBJECTIVE

to analyze the results of insertion procedures of Peripherally Inserted Central Catheters in newborns using two measurement methods.

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.

RESULTS

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.

CONCLUSIONS

between the two methods analyzed, the modified measurement obtained better results in the proper catheter tip positioning and, consequently, less risk to patients.

摘要

目的

分析两种测量方法在新生儿经外周置入中心静脉导管(PICC)置管过程中的结果。

方法

这是一项随机临床试验,对变量的描述性和探索性结果进行分析。试验在新生儿重症监护病房进行。数据收集于 2018 年 9 月至 2019 年期间。分析的样本包括 88 例导管插入术,分为两组。该研究获得了机构审查委员会的批准,并在国内外进行了注册。对数据进行描述性分析和逻辑回归分析。

结果

改良测量法在中心导管尖端位置上有显著差异。两组之间的选择性拔除和不良事件无显著差异;然而,不良定位与不良事件有关。

结论

在分析的两种方法中,改良测量法在正确的导管尖端定位方面取得了更好的结果,因此患者的风险较低。

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1
Methods for measuring venous peripherally inserted central catheters in newborns.新生儿外周静脉置入中心静脉导管测量方法。
Rev Bras Enferm. 2021 Oct 18;75(2):e20210045. doi: 10.1590/0034-7167-2021-0045. eCollection 2021.
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引用本文的文献

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Clinical validation of the diagnosis adverse location of peripherally inserted central catheter in neonatology.新生儿科经外周静脉穿刺中心静脉置管不良位置诊断的临床验证
Rev Esc Enferm USP. 2025 Aug 4;59:e20250117. doi: 10.1590/1980-220X-REEUSP-2025-0117en. eCollection 2025.
2
Average direct cost of peripherally inserted central catheterization by nurses in hospitalized patients: a cost estimate.护士为住院患者进行外周静脉穿刺中心静脉置管的平均直接成本:一项成本估算。
Einstein (Sao Paulo). 2024 Dec 13;22:eGS0982. doi: 10.31744/einstein_journal/2024GS0982. eCollection 2024.
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Prevention of complications related to peripherally inserted central catheter insertion techniques in newborns: systematic review and network meta-analysis.
预防外周置入中心静脉导管插入技术相关新生儿并发症:系统评价和网络荟萃分析。
Rev Lat Am Enfermagem. 2024 Jul 5;32:e4161. doi: 10.1590/1518-8345.6905.4161. eCollection 2024.