Inadequate positioning of central venous catheters inserted at intensive care units
ABSTRACT Objective To evaluate the positioning of the distal tip of central venous catheters and the factors that contributed to inadequate positioning in patients admitted to intensive care. Methods This is a cross-sectional study, with a sample of 246 medical records of patients admitted to intensive care units. A catheter position analysis form was used as an instrument for data collection. Results It was seen that 86.2% of catheters used in intensive care were centrally inserted in the internal jugular veins, 74.4% were double-lumen catheter, and ultrasound was employed for puncture technique in 84.6% of cases. Of the distal ends of the catheters, 53.7% were at the cavoatrial junction (correct position). According to statistical tests, there was a positive correlation between the inadequate positioning of the distal extremity with the central insertion catheter (p=0.012). Patients with presumptive diagnosis associated with COVID-19 showed a positive correlation with inappropriate positioning of the catheter distal tip (p=0.017). Conclusion There are extrinsic factors related to improper positioning of the distal tip of catheters, such as the type of catheter used, the patients’ diagnosis and the puncture with insertion in the left jugular vein.
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Instituto Israelita de Ensino e Pesquisa Albert Einstein
2022
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oai:scielo:S1679-450820220001002232022-04-05Inadequate positioning of central venous catheters inserted at intensive care unitsSantos,Álisson Vinicius dosBarbosa Neto,Edson DiasNunes Neto,Geraldo VicenteCavalcante,Raquel da SilvaDiniz,Ayanne Karla FerreiraFreitas,Gustavo Rocha CostaAraújo,Jaqueline Figueirôa Santos Barbosa de Catheters Radiography, thoracic Central venous catheters Patient positioning ABSTRACT Objective To evaluate the positioning of the distal tip of central venous catheters and the factors that contributed to inadequate positioning in patients admitted to intensive care. Methods This is a cross-sectional study, with a sample of 246 medical records of patients admitted to intensive care units. A catheter position analysis form was used as an instrument for data collection. Results It was seen that 86.2% of catheters used in intensive care were centrally inserted in the internal jugular veins, 74.4% were double-lumen catheter, and ultrasound was employed for puncture technique in 84.6% of cases. Of the distal ends of the catheters, 53.7% were at the cavoatrial junction (correct position). According to statistical tests, there was a positive correlation between the inadequate positioning of the distal extremity with the central insertion catheter (p=0.012). Patients with presumptive diagnosis associated with COVID-19 showed a positive correlation with inappropriate positioning of the catheter distal tip (p=0.017). Conclusion There are extrinsic factors related to improper positioning of the distal tip of catheters, such as the type of catheter used, the patients’ diagnosis and the puncture with insertion in the left jugular vein.info:eu-repo/semantics/openAccessInstituto Israelita de Ensino e Pesquisa Albert Einsteineinstein (São Paulo) v.20 20222022-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100223en10.31744/einstein_journal/2022ao6497 |
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Santos,Álisson Vinicius dos Barbosa Neto,Edson Dias Nunes Neto,Geraldo Vicente Cavalcante,Raquel da Silva Diniz,Ayanne Karla Ferreira Freitas,Gustavo Rocha Costa Araújo,Jaqueline Figueirôa Santos Barbosa de |
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Santos,Álisson Vinicius dos Barbosa Neto,Edson Dias Nunes Neto,Geraldo Vicente Cavalcante,Raquel da Silva Diniz,Ayanne Karla Ferreira Freitas,Gustavo Rocha Costa Araújo,Jaqueline Figueirôa Santos Barbosa de Inadequate positioning of central venous catheters inserted at intensive care units |
author_facet |
Santos,Álisson Vinicius dos Barbosa Neto,Edson Dias Nunes Neto,Geraldo Vicente Cavalcante,Raquel da Silva Diniz,Ayanne Karla Ferreira Freitas,Gustavo Rocha Costa Araújo,Jaqueline Figueirôa Santos Barbosa de |
author_sort |
Santos,Álisson Vinicius dos |
title |
Inadequate positioning of central venous catheters inserted at intensive care units |
title_short |
Inadequate positioning of central venous catheters inserted at intensive care units |
title_full |
Inadequate positioning of central venous catheters inserted at intensive care units |
title_fullStr |
Inadequate positioning of central venous catheters inserted at intensive care units |
title_full_unstemmed |
Inadequate positioning of central venous catheters inserted at intensive care units |
title_sort |
inadequate positioning of central venous catheters inserted at intensive care units |
description |
ABSTRACT Objective To evaluate the positioning of the distal tip of central venous catheters and the factors that contributed to inadequate positioning in patients admitted to intensive care. Methods This is a cross-sectional study, with a sample of 246 medical records of patients admitted to intensive care units. A catheter position analysis form was used as an instrument for data collection. Results It was seen that 86.2% of catheters used in intensive care were centrally inserted in the internal jugular veins, 74.4% were double-lumen catheter, and ultrasound was employed for puncture technique in 84.6% of cases. Of the distal ends of the catheters, 53.7% were at the cavoatrial junction (correct position). According to statistical tests, there was a positive correlation between the inadequate positioning of the distal extremity with the central insertion catheter (p=0.012). Patients with presumptive diagnosis associated with COVID-19 showed a positive correlation with inappropriate positioning of the catheter distal tip (p=0.017). Conclusion There are extrinsic factors related to improper positioning of the distal tip of catheters, such as the type of catheter used, the patients’ diagnosis and the puncture with insertion in the left jugular vein. |
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Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publishDate |
2022 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082022000100223 |
work_keys_str_mv |
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