Conhecimento dos profissionais da enfermagem pediátrica sobre infiltração e extravasamento em recém-nascidos e crianças

Erika Anny Costa Cerqueira; Isaiane Santos Bittencourt; Mariana de Oliveira Lima Caldas; Bianka Sousa Martins Silva; Bruna Figueiredo Manzo; Patrícia Kuerten Rocha; Luciano Marques dos Santos

doi:10.15253/2175-6783.20252694280

Authors

Erika Anny Costa Cerqueira Universidade Estadual de Feira de Santana https://orcid.org/0000-0001-8847-1146
Isaiane Santos Bittencourt Universidade do Estado da Bahia https://orcid.org/0000-0002-5666-9825
Mariana de Oliveira Lima Caldas Hospital Martagão Gesteira de Salvador https://orcid.org/0000-0003-3689-8070
Bianka Sousa Martins Silva Universidade Estadual de Feira de Santana https://orcid.org/0000-0003-0199-1451
Bruna Figueiredo Manzo Universidade Federal de Minas Gerais https://orcid.org/0000-0003-0064-9961
Patrícia Kuerten Rocha Universidade Federal de Santa Catarina https://orcid.org/0000-0002-8347-1363
Luciano Marques dos Santos Universidade Estadual de Feira de Santana https://orcid.org/0000-0001-7866-6353

DOI:

https://doi.org/10.15253/2175-6783.20252694280

Keywords:

Pediatric Nursing; Catheterization, Peripheral; Patient Safety; Infant, Newborn; Health Knowledge, Attitudes, Practice.

Abstract

Objective: describe the knowledge of nursing professionals regarding infiltration and extravasation in children using peripheral intravenous catheters. Methods: cross-sectional study carried out with 68 professionals from the nursing team of a pediatric hospital. Data collection took place using a structured questionnaire and we used descriptive statistics to analyze the information acquired. Results: regarding the concept, signs/symptoms, and management of complications, the rate of correct answers was considered low. Regarding risk factors, correct answer rates were medium or high. When it comes to classification, there was a low rate of right responses in the 1st and 3rd degrees of infiltration and in regard to the mechanisms that lead to both types of complication. Conclusion: the rate of correct answers regarding infilgration and extravasation was considered low for most questions. Contributions to the practice: the study may show how necessary it is for pediatric hospitals to plan institutional policies that enable the nursing team to provide the best intravenous therapy practices in order to help improve the quality of the assistance provided to newborns and children.

References

Tseng JH, Elaine Chen YF, Chang SP, Wang HC, Kuo YT. Factors affecting the patency and complications of peripheral intravenous catheters in newborns. Pediatr Neonatol. 2023;64(3):239-46. doi: https://10.1016/j.pedneo.2022.07.011

Qin KR, Ensor N, Barnes R, Englin A, Nataraja RM, Pacilli M. Standard versus long peripheral catheters for multiday IV therapy: a randomized controlled trial. Pediatrics. 2021;147(2):e2020000877. doi: https://doi.org/10.1542/peds.2020-000877

Pohl CE, Harvey H, Foley J, Lee E, Xu R, O’Brien NF, et al. Peripheral IV Administration of Hypertonic Saline: Single-Center Retrospective PICU Study. Pediatr Crit Care Med. 2022;23(4):277-85. doi: https://doi.org/10.1097/PCC.0000000000002903

Santos LM, Figueredo IB, Silva CSG, Catapano UO, Silva BSM, Avelar AFM. Risk factors for infiltration in children and adolescents with peripheral intravenous catheters. Rev Bras Enferm. 2022;75(4):e20210176. doi: https://doi.org/10.1590/0034-7167-2021-0176

Kluckow E, Perera S, Clifford I, Wilks D, Cooper MS. Increased risk of complications in lower versus upper limb peripheral intravenous cannulation in children with severe neurological impairment. Child Care Health Dev. 2024;50(2):e13250. doi: https://doi.org/10.1111/cch.13250

Phillips LD, Gorski L. Manual of I.V. therapeutics: evidence-based practice for infusion therapy. Philadelphia: F. A. Davis Company; 2018.

Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(1S Suppl 1):S1-S224. doi: https://dx.doi.org/10.1097/NAN.0000000000000396

Beall V, Hall B, Mulholland JT, Gephart SM. Neonatal extravasation: An overview and algorithm for evidence-based treatment. Newborn Infant Nurs Rev. 2013;13(4):189-95. doi: https://dx.doi.org/10.1053/j.nainr.2013.09.001

Ong J, Gerpen RV. Recommendations for management of noncytotoxic vesicant extravasations. J Infus Nurs. 2020;43(6):319-43. doi: https://doi.org/10.1097/NAN.0000000000000392

Hadaway L. Infiltration and extravasation. Am J Nurs. 2007;107(8):64-72. doi: https://dx.doi.org/10.1097/01.NAJ.0000282299.03441.c7

Santos LM, Cerqueira LF, Almeida AHV, Silva BSM, Gomes e Silva CSG, Avelar AFM. Risk factors for extravasation in peripheral catheters in children with cancer. Acta Paul Enferm. 2022;35:eAPE0059966. doi: https://dx.doi.org/10.37689/acta-ape/2022AO005996

Mecoli MD, Ding L, Yang G, McSoley JW, Doellman DA, Rineair SA, et al. Factors associated with intraoperative intravenous catheter extravasation in children. Anaesth Intensive Care. 2022;50(4):306-11. doi: https://dx.doi.org/10.1177/0310057X211062614

Kalaycı E, Çalışkan Z. The quality of life and influencing factors in Turkish children receiving cancer treatment. J Pediatr Nurs. 2021;61:213-8. doi: http://dx.doi.org/10.1016/j.pedn.2021.06.003

Atay S, Üzen Cura Ş, Efil S. Nurses’ knowledge and experience related to short peripheral venous catheter extravasation. J Vasc Access. 2023;24(4):848-53. doi: https://dx.doi.org/10.1177/11297298211045589

Yilmaz DU, Yilmaz D, Karaman D. Clinical nurses’ knowledge and practices on routine care related to the prevention of complications of peripheral intravenous therapy: a cross-sectional study. J Vasc Access. 2023;24(2):277-83. doi: https://dx.doi.org/10.1177/11297298211033380

Zingg W, Barton A, Bitmead J, Eggimann P, Pujol M, Simon A et al. Best practice in the use of peripheral venous catheters: A scoping review and expert consensus. Infect Prev Pract. 2023;5(2):100271. doi: http://dx.doi.org/10.1016/j.infpip.2023.100271

Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon T, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(suppl 1):S1-S224. doi: http://dx.doi.org/10.1097/NAN.0000000000000396

Benner P. From novice to expert. Am J Nurs [Internet]. 1982 [cited Aug 13, 2024];82(3):402-7. Available from: https://journals.lww.com/ajnonline/citation/1982/82030/from_novice_to_expert.4.aspx

Machado MH, Aguiar Filho W, Lacerda WF, Oliveira E, Lemos W, Wermelinger M, et al. Caracteristicas gerais da enfermagem: o perfil sócio demográfico. Enferm Foco. 2015;6(1/4):11-7. doi: https://doi.org/10.21675/2357-707x.2016.v7.nesp.686

Xu B, Zhang J, Hou J, Ma M, Gong Z, Tang S. Nurses’ knowledge of peripherally inserted central catheter maintenance and its influencing factors in Hunan province, China: a cross-sectional survey. BMJ Open. 2020;10(5):e033804. doi: https://dx.doi.org/10.1136/bmjopen-2019-033804

Indarwati F, Munday J, Keogh S. Nurse knowledge and confidence on peripheral intravenous catheter insertion and maintenance in pediatric patients: a multicentre cross-sectional study. J Pediatr Nurs. 2022;62:10-6. doi: https://doi.org/10.1016/j.pedn.2021.11.007

Mulemba T, Bank R, Sabantini M, Chopi V, Chirwa G, Mumba S, et al. Improving peripheral intravenous catheter care for children with cancer receiving chemotherapy in Malawi. J Pediatr Nurs. 2021;56:13-7. doi: https://dx.doi.org/10.1016/j.pedn.2020.09.019

Yan G. Extravasation of concentrated potassium chloride: a case report. Curr Ther Res Clin Exp. 2021;95:100646. doi: https://dx.doi.org/10.1016/j.curtheres.2021.100646

Litao H, Yuxuan R, Yongxia S. Infiltration and extravasation of intravenous infusions in children-value of high-quality care on outcome. J Pak Med Assoc. 2021;71(4):1181-3. doi: https://dx.doi.org/10.47391/JPMA.02-194

Rodrigues EC, Cardoso MVLML, Campos FMC, Gazelle TGA, Nobre KSS, Oliveira NR. Content translation and validation of the Pediatric PIV Infiltration Scale into Brazilian Portuguese. Rev Bras Enferm. 2020;73(4):e20190300. doi: https://dx.doi.org/10.1590/0034-7167-2019-0300

Cline GJ, Pohlod V, Burger KJ, Amankwah EK. Measuring the validity and reliability of the vascular access complication staging and treatment instrument in a pediatric population. J Infus Nurs. 2021;44(4):225-43. doi: https://dx.doi.org/10.1097/NAN.0000000000000431

Hackenberg RK, Kabir K, Müller A, Heydweiller A, Burger C, Welle K. Extravasation injuries of the limbs in neonates and children—development of a treatment algorithm. Dtsch Arztebl Int. 2021;118(33-34):547-54. doi: http://dx.doi.org/10.3238/arztebl.m2021.022

Santos LM, Nunes CJ, Silva CSG, Kusahara DM, Rodrigues EC, Avelar AFM. Elaboration and validation of an algorithm for treating peripheral intravenous infiltration and extravasation in children. Rev Latino-Am Enfermagem. 2021;29:e3435. doi: https://doi.org/10.1590/1518-8345.4314.3435

Gibian JT, Zakria D, March C, Schaheen B, Drolet BC. Outcomes and management of peripheral intravenous infiltration injuries. Hand (NY). 2022;17(1):148-54. doi: https://dx.doi.org/10.1177/1558944720906494

Dufficy M, Takashima M, Cunninghame J, Griffin BR, McBride CA, August D, et al. Extravasation injury management for neonates and children: a systematic review and aggregated case series. J Hosp Med. 2022;17(10):832-42. doi: https://dx.doi.org/10.1002/jhm.12951