Placement of peripherally inserted central catheters in children guided by ultrasound: A prospective randomized, and controlled trial

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dc.contributor.authorOnofre, Priscilla Sete de Carvalho [UNIFESP]
dc.contributor.authorPedreira, Mavilde da Luz Gonçalves [UNIFESP]
dc.contributor.authorPeterlini, Maria Angélica Sorgini [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:27:40Z
dc.date.available2016-01-24T14:27:40Z
dc.date.issued2012-09-01
dc.description.abstractObjective: To compare the use of vascular Doppler ultrasound with vein visualization and palpation for positioning peripherally inserted central catheters in children and to determine the influence of these methods on the success of the first puncture attempt, catheter positioning, and time required for the accomplishment.Design: A prospective randomized, controlled trial was conducted in a university hospital after ethical approval and was carried out among children (from birth to 18 yrs).Setting: São Paulo Hospital, São Paulo, Brazil.Patients: the sample comprises 42 peripherally inserted central catheters insertions allocated randomly into two groups: 1) an ultrasound group with 21 peripherally inserted central catheters guided by ultrasound; and 2) a control group with 21 catheters, in which the peripherally inserted central catheters were inserted using vein visualization and palpation.Interventions: the procedure was performed by two trained nurses using a standard protocol for peripherally inserted central catheter insertion and ultrasound use. Ultrasound group equipment was ILook25 (Sonosite, Bothell, WA) with a 25-mm, 10- to 15-MHz linear array transducer that reaches a 4-cm depth.Measurements and Main Results: Success in the first puncture attempt was higher (p=.003) in the ultrasound group (90.5%) than in the control group (47.6%). the catheter positioning success rate was 85.7% in the ultrasound group and 52.4% in the control group (p=.019). the median time spent on the procedure for the ultrasound group was 20 mins, whereas it was 50 mins for the control group (p=.001).Conclusion: the use of ultrasound increased the successful positioning of peripherally inserted central catheters in comparison with the venous anatomic landmark visualization and palpation technique and further optimized the time spent on the procedure. (Pediatr Crit Care Med 2012; 13: e282-e287)en
dc.description.affiliationUniversidade Federal de São Paulo, Unifesp, São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Enfermagem, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Unifesp, São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Enfermagem, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)
dc.description.sponsorshipIDCNPq: 476295/2004-1
dc.format.extentE282-E287
dc.identifierhttps://dx.doi.org/10.1097/PCC.0b013e318245597c
dc.identifier.citationPediatric Critical Care Medicine. Philadelphia: Lippincott Williams & Wilkins, v. 13, n. 5, p. E282-E287, 2012.
dc.identifier.doi10.1097/PCC.0b013e318245597c
dc.identifier.issn1529-7535
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/35250
dc.identifier.wosWOS:000308537800002
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofPediatric Critical Care Medicine
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectCentral venous catheterizationen
dc.subjectCritical careen
dc.subjectPatient safetyen
dc.subjectPediatric nursingen
dc.subjectPeripheral venous catheterizationen
dc.subjectUltrasounden
dc.titlePlacement of peripherally inserted central catheters in children guided by ultrasound: A prospective randomized, and controlled trialen
dc.typeinfo:eu-repo/semantics/article
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