Luciana Souza Marques De Lazzari

Ensaio clínico controlado sobre o curativo de cateter venoso central

Objective: To evaluate the effectiveness of gauze and tape as compared to transparent polyurethane film for dressing central venous catheters. Methods: A randomized controlled clinical trial was conducted. Results: No significant difference was identified in catheterrelated infection (p = 1) or the stability of the dressing (p = 0.670). There was no statistically significant difference with respect to the absorption of exudate (p <0.001). The likelihood of local reaction in the control group (gauze and tape) was different from the study group (p = 0.024). Conclusion: The type of dressing does not decrease the incidence of catheter-related infection, the binding capacity is similar, and the gauze dressing has the capacity to absorb exudate. However, the gauze dressing resulted in a higher probability of developing a local reaction. Record WHO: ACTRN12609000951257.

Clinical controlled trial on central venous catheter dressings

Objective: To evaluate the effectiveness of gauze and tape as compared to transparent polyurethane film for dressing central venous catheters. Methods: A randomized controlled clinical trial was conducted. Results: No significant difference was identified in catheterrelated infection (p = 1) or the stability of the dressing (p = 0.670). There was no statistically significant difference with respect to the absorption of exudate (p <0.001). The likelihood of local reaction in the control group (gauze and tape) was different from the study group (p = 0.024). Conclusion: The type of dressing does not decrease the incidence of catheter-related infection, the binding capacity is similar, and the gauze dressing has the capacity to absorb exudate. However, the gauze dressing resulted in a higher probability of developing a local reaction. Record WHO: ACTRN12609000951257.

[Peripherally inserted central catheter care in neonates: an integrative literature review].

O cateter central de insercao periferica e tecnologia comum empregada na terapia intravenosa de neonatos. Trata-se de revisao integrativa, cujo objetivo foi investigar e analisar as evidencias disponiveis na literatura acerca da tematica. As bases de dados pesquisadas foram Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS) e Biblioteca Nacional de Medicina dos Estados Unidos (PubMed). Resultados apontam lacunas no que tange a populacao neonatal; conhecimento insuficiente dos profissionais quanto indicacoes (n=1); e variados temas sobre uso de anticoagulantes (n=6), comparacao com outros cateteres (n=4), diagnostico por imagem (n=2), dor (n=2), infeccao relacionada a cateter e sua prevencao (n=7), entre outros fatores. Conclui-se que ha necessidade de atualizacao profissional, evidencias cientificas de facil acesso e publicacoes nacionais.The peripherally inserted central catheter is a common technology employed in the intravenous therapy of neonates. This integrative review was performed with the objective to investigate and analyze the evidence available in the literature regarding this technology. The databases searched included the Latin American and Caribbean Health Sciences Literature (LILACS) and the United States National Library of Medicine (PubMed). Results point at gaps in relation to their use in the neonatal population (n=1); various themes regarding the use of anticoagulants (n=6), comparison with other catheters (n=4), diagnostic imaging (n=2), pain (n=2), and catheter-relation infection and its prevention (n=7), among others. There is a need for staff education regarding their use; scientific evidence with easy access; and national publications regarding their use.

Prevenção de úlceras por pressão no calcanhar com filme transparente de poliuretano

OBJECTIVE: Evaluate the effectiveness of transparent polyurethane film in prevention of pressure ulcer of the calcaneus. Methods: A sample of 100 patients enrolled in a non-randomized controlled trialreceived a paired analysis of both calcaneus areas; each received the experimental intervention on the left heel and the control intervention on the right heel (clinical guideline only), constituting a total of 200 heel sites for analysis. RESULTS: The incidence of pressure ulcers was 32%, with 6% occurring in the experimental intervention, 18% in the control intervention, and 8% bilaterally, with significant incidence in the first 15 days of hospitalization. The length of time without pressure ulcers occurrence with the experimental intervention was 19.2 days, with a 95% confidence interval. CONCLUSION: It was concluded that the transparent polyurethane film associated with the pressure ulcers clinical guideline was effective in the prevention of heel pressure ulcer.

Cuidados com cateter central de inserção periférica no neonato: revisão integrativa da literatura

O cateter central de insercao periferica e tecnologia comum empregada na terapia intravenosa de neonatos. Trata-se de revisao integrativa, cujo objetivo foi investigar e analisar as evidencias disponiveis na literatura acerca da tematica. As bases de dados pesquisadas foram Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS) e Biblioteca Nacional de Medicina dos Estados Unidos (PubMed). Resultados apontam lacunas no que tange a populacao neonatal; conhecimento insuficiente dos profissionais quanto indicacoes (n=1); e variados temas sobre uso de anticoagulantes (n=6), comparacao com outros cateteres (n=4), diagnostico por imagem (n=2), dor (n=2), infeccao relacionada a cateter e sua prevencao (n=7), entre outros fatores. Conclui-se que ha necessidade de atualizacao profissional, evidencias cientificas de facil acesso e publicacoes nacionais.The peripherally inserted central catheter is a common technology employed in the intravenous therapy of neonates. This integrative review was performed with the objective to investigate and analyze the evidence available in the literature regarding this technology. The databases searched included the Latin American and Caribbean Health Sciences Literature (LILACS) and the United States National Library of Medicine (PubMed). Results point at gaps in relation to their use in the neonatal population (n=1); various themes regarding the use of anticoagulants (n=6), comparison with other catheters (n=4), diagnostic imaging (n=2), pain (n=2), and catheter-relation infection and its prevention (n=7), among others. There is a need for staff education regarding their use; scientific evidence with easy access; and national publications regarding their use.

Cuidados con catéter central de inserción periférica en el neonato: revisión integrativa de la literatura

O cateter central de insercao periferica e tecnologia comum empregada na terapia intravenosa de neonatos. Trata-se de revisao integrativa, cujo objetivo foi investigar e analisar as evidencias disponiveis na literatura acerca da tematica. As bases de dados pesquisadas foram Literatura Latino-Americana e do Caribe em Ciencias da Saude (LILACS) e Biblioteca Nacional de Medicina dos Estados Unidos (PubMed). Resultados apontam lacunas no que tange a populacao neonatal; conhecimento insuficiente dos profissionais quanto indicacoes (n=1); e variados temas sobre uso de anticoagulantes (n=6), comparacao com outros cateteres (n=4), diagnostico por imagem (n=2), dor (n=2), infeccao relacionada a cateter e sua prevencao (n=7), entre outros fatores. Conclui-se que ha necessidade de atualizacao profissional, evidencias cientificas de facil acesso e publicacoes nacionais.The peripherally inserted central catheter is a common technology employed in the intravenous therapy of neonates. This integrative review was performed with the objective to investigate and analyze the evidence available in the literature regarding this technology. The databases searched included the Latin American and Caribbean Health Sciences Literature (LILACS) and the United States National Library of Medicine (PubMed). Results point at gaps in relation to their use in the neonatal population (n=1); various themes regarding the use of anticoagulants (n=6), comparison with other catheters (n=4), diagnostic imaging (n=2), pain (n=2), and catheter-relation infection and its prevention (n=7), among others. There is a need for staff education regarding their use; scientific evidence with easy access; and national publications regarding their use.

Ensayo clínico controlado sobre la cobertura de catéter venoso central

Objective: To evaluate the effectiveness of gauze and tape as compared to transparent polyurethane film for dressing central venous catheters. Methods: A randomized controlled clinical trial was conducted. Results: No significant difference was identified in catheterrelated infection (p = 1) or the stability of the dressing (p = 0.670). There was no statistically significant difference with respect to the absorption of exudate (p <0.001). The likelihood of local reaction in the control group (gauze and tape) was different from the study group (p = 0.024). Conclusion: The type of dressing does not decrease the incidence of catheter-related infection, the binding capacity is similar, and the gauze dressing has the capacity to absorb exudate. However, the gauze dressing resulted in a higher probability of developing a local reaction. Record WHO: ACTRN12609000951257.