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

Autores/as

DOI:

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

Palabras clave:

Enfermagem Pediátrica; Cateterismo Periférico; Segurança do Paciente; Recém-Nascido; Conhecimentos, Atitudes e Prática em Saúde.

Resumen

Objetivo: descrever o conhecimento dos profissionais da enfermagem sobre infiltração e extravasamento em recém-nascidos e crianças em uso de cateteres intravenosos periféricos. Métodos: estudo transversal realizado com 68 profissionais da equipe de enfermagem de um hospital pediátrico. A coleta de dados ocorreu por meio de um questionário estruturado e, para a análise das informações obtidas, utilizou-se a estatística descritiva. Resultados: quanto ao conceito, sinais/sintomas e manejo das complicações, a taxa de acertos foi considerada baixa. Sobre os fatores de risco, as taxas de acertos foram médias ou altas. Em relação à classificação, foi identificada baixa taxa de acertos nos graus 1 e 3 de infiltração e quanto aos mecanismos de ocorrência de ambas as complicações. Conclusão: a taxa de acertos sobre infiltração e extravasamento foi considerada baixa para a maioria das questões. Contribuições para a prática: o estudo poderá despertar a necessidade de hospitais pediátricos realizarem o planejamento de políticas institucionais que possibilitem o acesso da equipe de enfermagem às melhores práticas da terapia intravenosa a fim de contribuir para uma assistência de qualidade aos neonatos e crianças.

Citas

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

Publicado

2025-01-10

Cómo citar

Cerqueira, E. A. C., Bittencourt, I. S., Caldas, M. de O. L., Silva, B. S. M., Manzo, B. F., Rocha, P. K., & Santos, L. M. dos. (2025). Conhecimento dos profissionais da enfermagem pediátrica sobre infiltração e extravasamento em recém-nascidos e crianças. Rev Rene, 26, e94280. https://doi.org/10.15253/2175-6783.20252694280

Número

Sección

Research Article

Artículos más leídos del mismo autor/a