Peripheral intravenous catheter complications in neonates

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To evaluate the incidence of complications related to the use of peripheral intravenous catheter in neonates and identify the associated risk factors” Danski et al (2016).

Abstract:

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.

Full Text

Reference:

Danski, M.T., Mingorance, P., Johann, D.A., Vayego, S.A. and Lind, J. (2016) Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates. Revista da Escola de Enfermagem da U S P. 50(1), p.22-8. [Article in English, Portuguese].

doi: 10.1590/S0080-623420160000100003.

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