USE OF PERIPHERALLY INSERTED CENTRAL CATHETERS (PICC) IN A NEONATAL INTENSIVE CARE UNIT OF A SOUTHERN BRAZILIAN MATERNAL-CHILD HOSPITAL
DOI:
https://doi.org/10.56238/revgeov17n3-205Keywords:
Catheterization, Peripheral, Infant, Newborn, Intensive Care Units, Neonatal, Patient Safety, Neonatal NursingAbstract
Considering the marked biological vulnerability of critically ill neonates, establishing secure venous access was determinant for therapeutic success and harm mitigation. The Peripherally Inserted Central Catheter (PICC) stood out as an essential technology in this setting, although its effectiveness depended on rigorous maintenance and surveillance protocols. This study aimed to analyze the utilization profile and clinical variables related to PICC in a Neonatal Intensive Care Unit (NICU) in Southern Brazil. To this end, a cross-sectional, retrospective, and census-based study was conducted, analyzing 154 medical records of neonates treated in 2024. Accordingly, it was observed that prematurity (64.28%) and respiratory disorders (37%) were the primary indications for the device. Regarding technical aspects, an equal distribution was identified between insertion in upper and lower limbs (40.42% each), with an average dwell time of 12.5 days. The elective removal rate was 42.54%, while complications accounted for 21.27% of removals. A critical finding revealed that 27.65% of the records lacked data on therapy outcomes, leading to the conclusion that, although the PICC was a strategic pillar in the NICU, its full safety was limited by weaknesses in clinical documentation. The study evidenced that technical excellence in insertion must be accompanied by a change in the recording culture and the implementation of maintenance checklists to ensure outcome traceability and the consolidation of evidence-based care.
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