Práticas utilizadas na manutenção da permeabilidade do cateter venoso central de inserção periférica

Abstract

The technological advent in health provides an improvement in the quality care to the newborn. In this context, neonatal nursing has advanced along with the emergence of these assistive technologies, among them, the central venous catheter peripherally inserted (PICC) originated from English peripherally inserted central catheter (PICC). On this sense, we establish the objectives: To present the profile of newborns with PICC in the Neonatal Intensive Care Unit; identify the practices implemented in maintaining the PICC permeability in the Neonatal Intensive Care Unit and describe the practices implemented in maintaining the permeability of the PICC in the Neonatal Intensive Care Unit. Methodology: quantitative approach study with descriptive retrospective. Data collection: Analysis of medical records, daily assessment tool PICC insertion and nursing registration and removal of the catheter, the patients admitted during the year 2013 in NICU of MaternidadeEscola, from Federal University of Rio de Janeiro, located in the city of Rio de Janeiro. The project was approved by the Research Ethics Committee of the institution, with protocol nº31279214.9.0000.5275. Results: Profiles of 48 records were collected: 58.5% (n = 28) were female and 41.5% (n = 20) were male; gestational age of 36w 1d to 38w 21% (n = 10), weight 1001g to 1500g, 31% (n = 15), major medical diagnosis of respiratory discomfort and / or prematurity; the catheter was evaluated daily by nurses; the bandages were not changed daily, only when necessary; conducting flush 1 ml of saline solution at 0.9% in the catheter after infusions bolus and / or infusion pump was a given that had shortages of adequate records and possible complications related to catheter use was the end of statement , elective removal, as the reason most frequently found 55.5% (n = 35) .Conclusion: PICC is a reliable technology for infants that require different types of intravenous infusions for prolonged periods. Thus, the participation and performance of qualified nurse, performing a protocol based on institutional care, following the evidence, is a key to practice good maintenance of patency of venous access and consequent success of the therapy, and exercise a qualified care and reduction damage to the newborn and his family.