Central Venous Access on the Newborns: peripheral insertion versus dissection / Acesso venoso central em recÃm-nascidos: inserÃÃo perifÃrica versus dissecÃÃo venosa
AUTOR(ES)
LÃcio FlÃvio Andrade de Alencar
DATA DE PUBLICAÇÃO
2005
RESUMO
Introduction: Venous access in a hospitalized newborn is a paramount for this treatment. Several technical features and the great variety of devices require from practitioners in field, doing the procedures and maintenance, knowledge ability and training in order that success be achieved. Aim: To identify the technical features underlying central venous access in newborns, through the review of specialized literature, likely to compromise the permanence of catheter and, also, compare the major techniques utilized in these procedures by clinical trials. Methods: A review article on the techniques and devices for central venous access in newborns was written, in order to identify these features, utilizing MEDLINE and LILACS database (OPS/Bireme) and an original article in which two techniques, peripheral insertion and venous dissection, for carrying out this procedure through control and random clinical trial is compared. Results: The literature review has ascertained that the advent of new techniques and devices point that several aspects may hinder its success. However, the clinical trial showed no significant difference in either technique concerning the occurrence of complications which may compromise the catheter permanence
ASSUNTO(S)
pediatria saÃde â crianÃas e adolescentes acesso venoso central â tÃcnicas de inserÃÃo perifÃrica e dissecÃÃo venosa neonatos - prematuros e de muito baixo peso â infusÃo venosa
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