Effectiveness and safety in nursing practice in the placement of percutaneous catheters in neonates: a systematic review

Authors

DOI:

https://doi.org/10.37431/conectividad.v5i4.221

Keywords:

Percutaneous Catheter AND Nursing AND Care

Abstract

Placement of percutaneous catheters in neonatal intensive care units (NICUs) is essential to provide safe and prolonged venous access in newborns, especially those born prematurely or with complex medical conditions. This procedure, performed by highly trained nurses, minimizes morbidity and stress by reducing the need for multiple venipunctures. However, there are significant risks, such as infections and thrombosis, exacerbated by the lack of uniform protocols and specific training. In this research, 19 articles were analyzed about percutaneous catheter placement procedures to reduce complications and improve clinical outcomes in neonates. It is concluded that the integration of nursing theories, continuous training, the use of ultrasound to guide insertion and the development of clear protocols are essential to optimize the management of these devices. In addition, education and teamwork of health personnel is important to ensure a comprehensive approach to neonatal care that includes advanced technical knowledge, precise practical skills and a deep understanding of neonatal anatomy.

References

Awada, Z., Abboud, R., & Nasr, S. (2019). Risk of Serious Bleeding with Antiplatelet Therapy for Secondary Prevention Post Ischemic Stroke in Middle East Population. Cureus, 11(6), e4942. https://doi.org/10.7759/cureus.4942

Carcelén Padilla, M. G. (2023). Cuidado de enfermería en la prevención de complicaciones en neonatos con catéter percutáneo [Master’s Thesis]. https://dspace.uniandes.edu.ec/handle/123456789/15861

Chan, K. M., Chau, J. P. C., Choi, K. C., Fung, G. P. G., Lui, W. W., Chan, M. S. Y., & Lo, S. H. S. (2020a). Clinical practice guideline on the prevention and management of neonatal extravasation injury: A before-and-after study design. BMC Pediatrics, 20(1), 445. https://doi.org/10.1186/s12887-020-02346-9

Giacomozzi, C. M., Giacomozzi, L. M., Silva, R. P. V. C. da, Mittag, B. F., & Nunes, R. C. T. (2023). ALGORITMO DE INDICAÇÃO DE ACESSO VENOSO PARA RECÉM-NASCIDOS EM UNIDADE DE TERAPIA INTENSIVA NEONATAL. Cogitare Enfermagem, 28, e86372. https://doi.org/10.1590/ce.v28i0.86372

Johnson, K. N., Thomas, T., Grove, J., & Jarboe, M. D. (2019). Insertion of peripherally inserted central catheters in neonates less than 1.5 kg using ultrasound guidance. Pediatric Surgery International, 32(11), 1053-1057. https://doi.org/10.1007/s00383-016-3959-1

Menéndez, T. del R., Anzules, J., Mastarreno, M. P., Domo, V. R., & Domo, M. L. (2021). Factores de riesgo de bacteriemia por cateterismo percutáneo en neonatos en unidad de cuidados intensivos. Polo del Conocimiento: Revista científico - profesional, 6(5), 248-260.

Pet, G. C., Eickhoff, J. C., McNevin, K. E., Do, J., & McAdams, R. M. (2020a). Risk factors for peripherally inserted central catheter complications in neonates. Journal of Perinatology, 40(4), 581-588. https://doi.org/10.1038/s41372-019-0575-7

Pet, G. C., Eickhoff, J. C., McNevin, K. E., Do, J., & McAdams, R. M. (2020b). Risk factors for peripherally inserted central catheter complications in neonates. Journal of Perinatology, 40(4), 581-588. https://doi.org/10.1038/s41372-019-0575-7

Pin, T. del R. M., Guerra, J. A., Cedeño, M. P. M., García, V. R. D., & Mendoza, M. L. D. (2021). Factores de riesgo de bacteriemia por cateterismo percutáneo en neonatos en unidad de cuidados intensivos. Polo del Conocimiento: Revista científico-profesional, 6(5), 248-260. https://dialnet.unirioja.es/servlet/articulo?codigo=8016905

Pocoata, M. (2021). Competencias cognitivas y prácticas sobre la técnica de inserción, manejo y retiro del catéter percutáneo neonatal por el profesional de enfermería, Unidad de Cuidados Intensivos Neonatales, Hospital del Norte, ciudad El Alto, 2021 [Thesis]. http://repositorio.umsa.bo/xmlui/handle/123456789/29011

Rodríguez, A., Romero, A., & Sagba, B. (2023). Cuidados de enfermería asociados al catéter epicutáneo en la unidad de cuidados intensivos neonatales [masterThesis]. https://dspace.uniandes.edu.ec/handle/123456789/15609

Salimi, S. (2021). Page not found—ScienceDirect. https://www.sciencedirect.com/science/article/abs/pii/S8755722317300650

San Miguel, P. (2022). Conocimiento del profesional de enfermería en la inserción y mantenimiento del catéter venoso central percutáneo en neonatos del Hospital Municipal Los Pinos La Paz, gestión 2021 [Thesis]. http://repositorio.umsa.bo/xmlui/handle/123456789/29823

Seda, C., & lmaz, B. (2019). Efficacy of Vein Visualization Devices for Peripheral Intravenous Catheter Placement in Preterm Infants: A Randomized Clinical Trial. 33(1), 61-67.

Published

2024-12-19

How to Cite

Mina Curay, M. A., Andrade Guamán, A. M., & García Beracierto, J. (2024). Effectiveness and safety in nursing practice in the placement of percutaneous catheters in neonates: a systematic review. CONECTIVIDAD, 5(4), 157–168. https://doi.org/10.37431/conectividad.v5i4.221

Most read articles by the same author(s)