EVALUATION OF PROTOCOLS OF FOLLOWING OF OPERIPHERICAL CATHETER VENOUS. NEONATOLOGY. DR. HERNAN HENRIQUEZ ARAVENA HOSPITAL. MAY- JUNE OF 2005.

Abstract

Objective: to know the causes associated to multi venipucture site in the NB, in order to focus improvement strategies. Material and Method: Design of cross section and association. Sample: 371 clinical protocols of pvc; variables: gestacional age, remove reason, hours of duration. Results: 60,65% of pvc correspond to more than 1500grs NB. And 39,35% to VLBWI (< 1500grs). 64,42% of the catheter, is settle in a first puncture and 35,58% require more than one attempt. In viability of pvc, 68,45% stay in situ more than 24 hours, 30,45% more than 48 hours, 1,08% less than one hour and 22,37% between 49 and 72 hours. In PI the 62,68% of pvc lasted less than 72 hours in situ and in the TI 37,32%, p: 0.038. Reason of the replacement central: 34,77% by extrusion, 15,36% by cease, 10,51% by expiration and phlebitis 12,67%. Conclusions: high percentage of multi venipucture, extrusion and limited duration. To consider mobility of the newborn, immobilization, characteristics of the skin and supplies quality.