Jolline Lind

Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates

OBJETIVO Avaliar a incidencia de complicacoes relacionadas ao uso do cateter intravenoso periferico em neonatos e identificar fatores de risco associados. METODO Coorte prospectiva, realizada em Unidade de Terapia Intensiva Neonatal. Os participantes foram os neonatos internados submetidos a puncao intravenosa periferica, no periodo de fevereiro a junho de 2013. RESULTADOS A incidencia de complicacoes foi de 63,15%, sendo infiltracao/extravasamento (69,89%), flebite (17,84%) e obstrucao (12,27%). Os fatores de risco foram: presenca de infeccao (p=0,0192) e peso no dia da puncao (p=0,0093), tipo de infusao intermitente associada a continua (p<0,0001), intubacao orotraqueal (p=0,0008), infusao de plano basico (p=0,0027), nutricao parenteral total (p=0,0002), hemotransfusao associada a outras infusoes (p=0,0003) e outros medicamentos (p=0,0004). Maior risco de desenvolver complicacao nas primeiras 48 horas pos-puncao. CONCLUSAO Uma taxa elevada de complicacoes relacionadas ao uso do cateter intravenoso periferico e fatores de risco associados a infeccao, peso, drogas e solucoes infundidas e tipo de infusao.OBJECTIVE To evaluate the incidence of complications related to the use of peripheral intravenous catheter in neonates and identify the associated risk factors. METHOD Prospective cohort study conducted in a Neonatal Intensive Care Unit. Participants were the hospitalized neonates undergoing peripheral intravenous puncture in the period from February to June 2013. RESULTS The incidence of complications was 63.15%, being infiltration/extravasation (69.89%), phlebitis (17.84%) and obstruction (12.27%). The risk factors were the presence of infection (p = 0.0192) and weight at the puncture day (p = 0.0093), type of intermittent infusion associated with continuous infusion (p <0.0001), endotracheal intubation (p = 0.0008), infusion of basic plan (p = 0.0027), total parenteral nutrition (P = 0.0002), blood transfusion associated with other infusions (p = 0.0003) and other drugs (p = 0.0004). Higher risk of developing complications in the first 48 hours after puncture. CONCLUSION A high rate of complications related to the use of peripheral intravenous catheter, and risk factors associated with infection, weight, drugs and infused solutions, and type of infusion.

Risk factors for complications in peripheral intravenous catheters in adults: secondary analysis of a randomized controlled trial

Objetivo: analisar os fatores de risco relacionados a ocorrencia de complicacoes no cateterismo venoso periferico. Metodo: analise secundaria de dados de um ensaio clinico randomizado, no qual 169 pacientes clinicos e cirurgicos foram alocados no grupo em uso de cateter de seguranca completo (n = 90) e no grupo que utilizou cateter sobre agulha simples (n = 79), tempo de seguimento de tres meses. Resultados: os fatores de risco que aumentaram as chances de desenvolvimento de complicacoes foram: periodos de internacao compreendidos entre 10 a 19 dias (p = 0,0483) e 20 a 29 dias (p = 0,0098), uso de antimicrobianos (p = 0,0288) e solucoes e planos de soro (p = 0,0362). O calibre 20 Gauge diminuiu os riscos de ocorrencia de complicacoes (p=0,0153). A analise multipla apontou reducao do risco para o calibre 20 (p = 0,0350); aumento do risco para a infusao de solucoes e planos de soro (p = 0,0351) e administracao de corticosteroides (p = 0,0214). Conclusao: os fatores de risco relacionados a ocorrencia de complicacoes no cateterismo venoso periferico foram tempo de internacao entre 10 e 29 dias, infusao de antimicrobianos, solucoes e planos de soro e corticosteroides. Ressalta-se o calibre 20 como fator protetor ao desenvolvimento de complicacoes, quando comparado ao 22. Registro Brasileiro de Ensaios Clinicos: RBR-46ZQR8.ABSTRACT Objective: analyze the risk factors linked to complications in peripheral intravenous catheters. Method: secondary data analysis of a randomized controlled trial with 169 medical and surgical patients placed in two groups, one with integrated safety catheter (n=90) and other using simple needle catheter (n=79), with three months follow-up time. Results: the risk factors that raised the odds of developing complications were: hospitalization between 10-19 days (p=0.0483) and 20-29 days (p=0,0098), antimicrobial use (p=0.0288) and use of fluid solutions (p=0.0362). The 20 Gauge lowered the risks of complications (p=0.0153). Multiple analysis showed reduction of risk for the 20 Gauge (p=0.0350); heightened risk for solutions and fluids (p=0.0351) and use of corticosteroids (p=0.0214). Conclusion: risk factors linked to complications in peripheral intravenous catheters were: hospitalization periods between 10-29 days, antimicrobial infusion, solutions and fluids and corticosteroids. Regarding complications, 20 Gauge is a protecting factor compared with 22. Brazilian Clinical Trials Registry: RBR-46ZQR8.

Complicações relacionadas ao uso do cateter venoso periférico: ensaio clínico randomizado

Objective To analyze the complications deriving from the use and type of peripheral venous catheter in adults. Methods Randomized clinical trial; undertaken at a teaching hospital between 2012 and 2015; 169 adults were included who were hospitalized at clinical and surgical services and needed peripheral venipuncture with an expected dwelling time of more than 96 hours. Through systemized randomization, 90 participants were allocated to the trial group (complete safety catheter) and 79 to the control group (short flexible catheter). Results The general complications rate was 55.62%, with 18.34% of phlebitis, 11.83% infiltration, 11.24% obstruction and 9.47% traction. No significant difference was found between the groups for the occurrence of complications, phlebitis, obstruction and traction. Conclusion The complication rate in peripheral venous catheterization was high but, when compared, without a statistically significant difference, the complete safety catheter showed lower complication rates after the fourth day of survival.

Central venous catheter for hemodialysis: incidence of infection and risk factors

OBJECTIVE To measure the incidence of infection in short-term central venous catheter for hemodialysis and to identify the associated risk factors. METHOD Prospective cohort study conducted in a teaching hospital from September 2015 to April 2016. Patients requiring central venous catheter for hemodialysis were included and data was collected through direct and systematic observation of the catheter insertion procedure by the researchers. RESULTS The final sample consisted of 69 patients, who used 88 catheters. The incidence of infection was 9.1%, and the risk factors were length of hospital stay and insertion of the catheter in the left femoral vein. CONCLUSION The observation of the actions performed during the insertion of the catheter made it possible to identify the risk factors associated with infection, and the research protocol may have contributed to the reduction of infection rates.

Incidencia de complicaciones locales y factores de riesgo asociados con el catéter intravenoso periférico en neonatos

OBJETIVO Avaliar a incidencia de complicacoes relacionadas ao uso do cateter intravenoso periferico em neonatos e identificar fatores de risco associados. METODO Coorte prospectiva, realizada em Unidade de Terapia Intensiva Neonatal. Os participantes foram os neonatos internados submetidos a puncao intravenosa periferica, no periodo de fevereiro a junho de 2013. RESULTADOS A incidencia de complicacoes foi de 63,15%, sendo infiltracao/extravasamento (69,89%), flebite (17,84%) e obstrucao (12,27%). Os fatores de risco foram: presenca de infeccao (p=0,0192) e peso no dia da puncao (p=0,0093), tipo de infusao intermitente associada a continua (p<0,0001), intubacao orotraqueal (p=0,0008), infusao de plano basico (p=0,0027), nutricao parenteral total (p=0,0002), hemotransfusao associada a outras infusoes (p=0,0003) e outros medicamentos (p=0,0004). Maior risco de desenvolver complicacao nas primeiras 48 horas pos-puncao. CONCLUSAO Uma taxa elevada de complicacoes relacionadas ao uso do cateter intravenoso periferico e fatores de risco associados a infeccao, peso, drogas e solucoes infundidas e tipo de infusao.OBJECTIVE To evaluate the incidence of complications related to the use of peripheral intravenous catheter in neonates and identify the associated risk factors. METHOD Prospective cohort study conducted in a Neonatal Intensive Care Unit. Participants were the hospitalized neonates undergoing peripheral intravenous puncture in the period from February to June 2013. RESULTS The incidence of complications was 63.15%, being infiltration/extravasation (69.89%), phlebitis (17.84%) and obstruction (12.27%). The risk factors were the presence of infection (p = 0.0192) and weight at the puncture day (p = 0.0093), type of intermittent infusion associated with continuous infusion (p <0.0001), endotracheal intubation (p = 0.0008), infusion of basic plan (p = 0.0027), total parenteral nutrition (P = 0.0002), blood transfusion associated with other infusions (p = 0.0003) and other drugs (p = 0.0004). Higher risk of developing complications in the first 48 hours after puncture. CONCLUSION A high rate of complications related to the use of peripheral intravenous catheter, and risk factors associated with infection, weight, drugs and infused solutions, and type of infusion.

Incidência de complicações locais e fatores de risco associados ao cateter intravenoso periférico em neonatos

OBJETIVO Avaliar a incidencia de complicacoes relacionadas ao uso do cateter intravenoso periferico em neonatos e identificar fatores de risco associados. METODO Coorte prospectiva, realizada em Unidade de Terapia Intensiva Neonatal. Os participantes foram os neonatos internados submetidos a puncao intravenosa periferica, no periodo de fevereiro a junho de 2013. RESULTADOS A incidencia de complicacoes foi de 63,15%, sendo infiltracao/extravasamento (69,89%), flebite (17,84%) e obstrucao (12,27%). Os fatores de risco foram: presenca de infeccao (p=0,0192) e peso no dia da puncao (p=0,0093), tipo de infusao intermitente associada a continua (p<0,0001), intubacao orotraqueal (p=0,0008), infusao de plano basico (p=0,0027), nutricao parenteral total (p=0,0002), hemotransfusao associada a outras infusoes (p=0,0003) e outros medicamentos (p=0,0004). Maior risco de desenvolver complicacao nas primeiras 48 horas pos-puncao. CONCLUSAO Uma taxa elevada de complicacoes relacionadas ao uso do cateter intravenoso periferico e fatores de risco associados a infeccao, peso, drogas e solucoes infundidas e tipo de infusao.OBJECTIVE To evaluate the incidence of complications related to the use of peripheral intravenous catheter in neonates and identify the associated risk factors. METHOD Prospective cohort study conducted in a Neonatal Intensive Care Unit. Participants were the hospitalized neonates undergoing peripheral intravenous puncture in the period from February to June 2013. RESULTS The incidence of complications was 63.15%, being infiltration/extravasation (69.89%), phlebitis (17.84%) and obstruction (12.27%). The risk factors were the presence of infection (p = 0.0192) and weight at the puncture day (p = 0.0093), type of intermittent infusion associated with continuous infusion (p <0.0001), endotracheal intubation (p = 0.0008), infusion of basic plan (p = 0.0027), total parenteral nutrition (P = 0.0002), blood transfusion associated with other infusions (p = 0.0003) and other drugs (p = 0.0004). Higher risk of developing complications in the first 48 hours after puncture. CONCLUSION A high rate of complications related to the use of peripheral intravenous catheter, and risk factors associated with infection, weight, drugs and infused solutions, and type of infusion.