Peripheral catheter with closed infusion system: technology implementation

Jolline Lind, Mitzy Tannia Reichembach Danski, Luana Lenzi, Edivane Pedrolo, Alessandra Amaral Schwanke, Derdried Athanasio Johann

Abstract


ABSTRACT

Objective: to estimate the incidence of local complications related to the use of a peripheral intravenous catheter with a closed infusion system and to identify the associated risk factors. Method: this is a quantitative, prospective cohort study with 90 adults. The collection was performed by daily observation of the catheter. The Chi-Square, Fisher's exact, Williams's Correction, Mann-Whitney and Relative Risk tests were used in the statistical analyzes. Results were presented in the form of tables. Results: the incidence of local complications was 55.6%, with 15 (16.7%) phlebitis, 12 (13.3%) traction, ten (11.1%) infiltrations, seven (7, 8%) extravasations, five (5.6%) obstructions and one (1.1%) local infection. The risk factors were female gender (p = 0.005), hospitalization time (p = 0.001) and pump infusion (p = 0.014). Conclusion: it is believed that the rate of local complications was high and three risk factors related to the use of the peripheral intravenous catheter with closed infusion system were identified. Descriptors: Peripheral Catheterization; Biomedical Technology; Risk factors; Evidence-Based Nursing; Adult; Intravenous Infusions.

RESUMO

Objetivo: estimar a incidência de complicações locais relacionadas ao uso do cateter intravenoso periférico com sistema fechado de infusão e identificar os fatores de risco associados. Método: trata-se de um estudo quantitativo, de coorte prospectivo, realizado com 90 adultos. Realizou-se a coleta mediante a observação diária do cateter. Utilizaram-se, nas análises estatísticas, os testes Qui-Quadrado, Exato de Fisher, Correção de Williams, Mann-Whitney e Risco Relativo. Apresentaram-se os resultados em forma de tabelas. Resultados: informa-se que a incidência de complicações locais foi de 55,6%, sendo 15 (16,7%) flebites, 12 (13,3%) trações, dez (11,1%) infiltrações, sete (7,8%) extravasamentos, cinco (5,6%) obstruções e uma (1,1%) infecção local. Têm-se como fatores de risco o sexo feminino (p=0,005), o tempo de internação (p=<0,001) e a infusão em bomba (p=0,014). Conclusão: acredita-se que a taxa de complicações locais foi alta e identificaram-se três fatores de risco relacionados ao uso do cateter intravenoso periférico com sistema fechado de infusão. Descritores: Cateterismo Periférico; Tecnologia Biomédica; Fatores de Risco; Enfermagem Baseada em Evidências; Adulto; Infusões Intravenosas.

RESUMEN

Objetivo: estimar la incidencia de complicaciones locales relacionadas al uso del catéter intravenoso periférico con sistema cerrado de infusión e identificar los factores de riesgo asociados. Método: se trata de un estudio cuantitativo, de cohorte prospectivo, realizado con 90 adultos. Se realizó la recolección mediante la observación diaria del catéter. Se utilizaron, en los análisis estadísticos, las pruebas Chi-Cuadrado, Exacto de Fisher, Corrección de Williams, Mann-Whitney y Riesgo Relativo. Se presentaron los resultados en forma de tablas. Resultados: se informa que la incidencia de complicaciones locales fue 55,6%, de los cuales 15 (16.7%) flebitis, 12 (13,3%) tracciones, diez (11,1%) la infiltración, siete (7 8%) extravasaciones, cinco (5,6%) obstrucciones y una (1,1%) infección local. Se toman como factores de riesgo el sexo femenino (p = 0,005), el tiempo de internación (p = <0,001) y la infusión en bomba (p = 0,014). Conclusión: se cree que la tasa de complicaciones locales fue alta y se identificaron tres factores de riesgo relacionados al uso del catéter intravenoso periférico con sistema cerrado de infusión. Descritores: Cateterismo Periférico; Tecnología Biomédica; Factores de Riesgo; Enfermería Basada em la Evidencia; Adulto; Infusiones Intravenosas.



Keywords


Cateterismo periférico; Tecnologia biomédica; Fatores de risco; Enfermagem baseada em evidências; adulto; Infusões intravenosas.

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DOI: https://doi.org/10.5205/1981-8963-v13i5a239008p1208-1215-2019



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