Keywords
Nursing care
Intravenous infusion
How to Cite
Abstract
Introduction: Neonatal intravenous therapy is the most used tool for the relief of several pathologies. This therapy is indispensable to administer drugs, parenteral nutrition, blood products, liquids and electrolytes in ill or critically ill newborns. Therefore, it should be considered as a lifeline, since it results essential for the success of the treatment, and for that reason its care should be meticulous. Objective: Provide an update in the praxis of the neonate intravenous therapy, which allows health care personnel to make assertive decisions in regards to care, and subject to scientific evidence. Methodology: A review of the scientific work was performed in English and in Spanish in scientific and medical databases such as PubMed, Scielo, Lilacs, and Science Direct. Results: 104 articles about topics related to neonate child intravenous and pediatric therapy were found, those which reported concrete data about the analysis population were chosen, and those which only mentioned pediatric population data among their results, were excluded. Conclusions: Available national and international scientific literature allows the health personnel to improve the neonate care in regards to the intravenous therapy, by inviting to the reflection on the risk-free practice, in an informed way, and, consequently, more humane.
References
Norma Oficial Mexicana NOM-022-SSA3-2012, Que instituye las condiciones para la administración de la terapia de infusión en los Estados Unidos Mexicanos. DOF Secretaria de Salud [Internet]. 2012. [Consultado 19 Septiembre 2019]. Disponible en: http://dof.gob.mx/nota_detalle.php?codigo=5268977&fecha=18/09/2012.
González-Pérez D, Pérez-Rodríguez G, Leal-Omaña C, Ruíz-Rosas R, González-Izquierdo J. Tendencia y causas de mortalidad neonatal en el Instituto Mexicano del Seguro Social 2011-2014, a nivel nacional. Rev Mex Pediatr [Internet]. 2016. [Consultado 13 Septiembre 2019]; 83 (4): 115-123. Disponible en: https://www.medigraphic.com/pdfs/pediat/sp-2016/sp164c.pdf
Martínez C. Eventos Adversos en el cuidado de enfermería brindado a niños hospitalizados. REVISALUD Unisucre Sincelejo [Internet]. 2014; 2 (1): 66-69. Disponible en: 10.24188/23394072.v2.n1.2014.133.
Castañeda A, Pérez J, Soto M. Eficacia de la práctica de enfermería en la Terapia de Infusión Intravenosa. Rev Conamed [Internet]. 2015. [Consultado 3 Agosto 2019]; 20 (1): S27-S34. Disponible en: https://www.medigraphic.com/pdfs/conamed/con-2015/cons151e.pdf
Park H, Kim K, Lee H, Jeon E, Kim K, Suh D. Compartment syndrome due to extravasation peripheral parenteral nutrition: extravasation injury of parenteral nutrition. Korean J pediatr [Internet]. 2015; 58 (11): 454-458. Disponible en: doi: 10.3345/kjp.2015.58.11.454.
Danskin M, Mingorance P, Derdried J, Vayego S, Lind J. Incidence of local complications and risk factors associated with peripheral intravenous catheter in neonates. Rev esc enferm USP [Internet]. 2016; 50 (1): 22-28. Disponible en: doi: 10.1590/S0080-623420160000100003.
Driscoll M, Langer M, Burke S, El M. Improving detection of IV infiltrates in neonates. BMJ Qual Improv Rep [Internet]. 2015; 4 (1): 1-5. Disponible en: doi: 10.1136/bmjquality.u204253.w3874.
Hadaway L. Infiltration and Extravasation. Am J Nurs [Internet]. 2007; 107 (8): 64-72. Disponible en: doi: 10.1097/01.NAJ.0000282299.03441.c7.
Bacciedoni V, Attie M, Donato H. Trombosis en el recién nacido. Arch Argent pediatr [Internet]. 2016. [Consultado 17 Octubre 2019]; 114 (2): 159-166. Disponible en: https://www.sap.org.ar/docs/publicaciones/primero/2016/Act_Bacciedoni_anticipo_2-3-16.pdf
Ponnusamy V, Venkatesh V, Clarke P. Skin antisepsis in the neonate: what should we use?. Curr Opin Infect Dis [Internet]. 2014; 27 (3): 244-250. Disponible en: doi: 10.1097/QCO.0000000000000064.
Tamez R, Pantoja M. Enfermería en la Unidad de Cuidados Intensivos Neonatales: asistencia del recién nacido de alto riesgo. Buenos Aires: Panamericana; 2016.
Tong R. Preventing extravasation injuries in neonates. Paediatr Nurs [Internet]. 2016; 19 (8): 22-25. Disponible en: doi: 10.7748/paed2007.10.19.8.22.c4462.
Rodríguez M. Frecuencia de infecciones asociadas a la atención de salud en los principales sistemas de información de México. Boletín CONAME-OPS [Internet]. 2018. [Consultado 18 Septiembre 2019]; 3 (17): 15-20. Disponible en: http://www.conamed.gob.mx/gobmx/boletin/pdf/boletin17/frecuencia_infecciones.pdf
Dirección General de Epidemiologia. Informe anual 2015 Red Hospitalaria de vigilancia epidemiológica. Secretaría de Salud en México [Internet]. 2016. [Consultado el 13 de noviembre 2019]. Disponible en: www.epidemiologia.salud.gob.mx
Mobley R, Bizzarro M. Central line-associated bloodstram infections inthe NICU: Cuccesses and controversies in the quest for zero. Seminars in Perinatology [Internet]. 2017; 41 (3): 166-174. Disponible en: 10.1053/j.semperi.2017.03.006.
Ferreira J, Camargos P, Clemente W, Romanelli R. Clinical usefulness of catheter-drawn blood samples and catheter tip cultures for the diagnosis of catheter-related bloodstream infections in neonatology: A systematic review. Am J Infect Control [Internet]. 2018; 46 (1): 81-87. Disponible en: doi: 10.1016/j.ajic.2017.06.030.
Garland J, Kanneberg S, Mayr K, Porter D, Vanden A, Kurziak J, McAuliffe T. Risk of morbidity following catheter removal among neonates with catheter associated bloodstream infection. J Neonatal Perinatal Med [Internet]. 2017; 10 (3): 291-299. Disponible en: doi: 10.3233/NPM-16137.
Kieran E, O’Sullivan A, Miletin J, Twomey A, Knowles S, Finbarr C. 2% chlorhexidine–70% isopropyl alcohol versus 10% povidone–iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial. Arch Dis Child Fetal Neonatal Ed [Internet]. 2018; 103: F101–F106. Disponible en: doi: 10.1136/archdischild-2016-312193.
Wen J, Yu Q, Chen H, Chen N, Huang S, Cai W. Peripherally inserted central venous catheter-associated complications exert negative effects on body weight gain in neonatal intensive care units. Asia Pac J Clin Nutr [Internet]. 2017; 26 (1): 1-5. Disponible en: doi: 10.6133/apjcn.112015.07.
Doellman D, Hadaway L, Bowe-Geddes L, Franklin M, LeDonne J, Papke-O´Donnell L, et al. Infiltration and extravasation: update on prevention and management. J Infusi Nurs [Internet]. 2009; 32 (4): 203-211. Disponible en: doi: 10.1097/NAN.0b013e3181aac042.
Beall V, Hall B, Mulholland J, Gephart S. Neonatal Extravasation: An Overview and Algorithm for Evidence – Based Treatment. Newbor Infant Nurs Rev [Internet]. 2013; 13 (4): 189-195. Disponible en: doi: 10.1053/j.nainr.2013.09.001.
Pettit J. Assessment of the infant with a peripheral intravenous device. Adv Neonatal Care [Internet]. 2003; 3 (5): 230-240.
Norma Oficial Mexicana NOM-022-SSA3-2012, Que instituye las condiciones para la administración de la terapia de infusión en los Estados Unidos Mexicano. DOF Secretaria de Salud [Internet]. 2012. [Consultado 3 Noviembre 2019].Disponible en: http://www.salud.gob.mx/unidades/cie/doctos/NOM-022-SSA3-2012.PDF
Norma Oficial Mexicana NOM-045-SSA2-2005 para la vigilancia epidemiológica, prevención y control de infecciones nosocomiales. DOF Secretaria de Salud [Internet]. 2005. [Consultado 3 Noviembre 2019]. Disponible en: http://iner.salud.gob.mx/descargas/normatecainterna/MJnormasmexicanas/NOM-045-SSA2-2005.pdf
Savage T, Hodge D, Pickard K, Myers P. Powell K, Cayce J. Sustained Reduction and Prevention of Neonatal and Pediatric Central Line- Associated Bloodstream Infection Following a Nurse-Driven Quality Improvement Initiative in a Pediatric Facility. Journal of the Association for Vascular Access [Internet]. 2018; 23 (1): 30-41. Disponible en: doi: 10.1016/j.java.2017.11.002.
Hawes J, Lee K. Reduction in Central Line-Associated Bloodstream Infections in a NICU: Practical Lessons for Its Achievement and Sustainability. Neonatal Netw [Internet]. 2018; 37: 105-111. Disponible en: doi: 10.1891/0730-0832.37.2.105.
Restieaux M, Maw A, Broadbent R, Jackson P, Barker D, Wheeler B. Neonatal extravasation injury: pretention and management kin Australia and New Zealand-a Survey of current practice. BMC Pediatrics [Internet]. 2013; 13:3. Disponible en: doi: 10.1186/1471-2431-13-34.
Vander E, Roland M, Dankelman J, Bert J S. A literature review on flow‐rate variability in neonatal IV therapy. Pediatr Anesth [Internet]. 2013; 23: 9-21. Disponible en: doi: 10.1111/pan.12039.
Fajuri P, Pino P, Castillo A. Uso de catéter venoso central de inserción periférica en pediatría. Rev Chil Pediatr [Internet]. 2012; 83 (4): 352-357. Disponible en: doi: 10.4067/S0370-41062012000400005.
Daza W. Manual prático de nutricion parenteral en pediatria. Colombia: Panamericana; 2012.
Hansen A. Puder M. Manual de cuidados Intensivos en Cirugia Neonatal. México: Editorial médica Panamericana; 2012.
Guía de Práctica Clínica Diagnóstico y tratamiento de la hipoglicemia neonatal transitoria. Secretaria de salud [Internet]. 2010. [Consultado 14 Octubre 2019]. Disponible en: http://www.cenetec.salud.gob.mx/descargas/gpc/CatalogoMaestro/446_GPC_Hipoglucemia_neonatal/GER_Hipoglucemia_neonatal.pdf
Rodrigues A, Gomes C, Justina C, Oliveira J, Machado A, Rodrigues E. Assessment of phlebitis, infiltration and extravasation events in neonates submitted to intravenous therapy. Esc Anna Nery [Internet]. 2011; 15 (3): 472-479. Disponible en: doi: 10.1590/S1414-81452011000300005.
Tomazi A, Chollopetz M. Eventos adversos relacionados con el uso de catéteres venosos centrales en recién nacidos hospitalizados. Rev Latino-Am Enfermagem [Internet]. 2010. [Consultado 12 Mayo 2019]; 18 (2): 196-202. Disponible en: http://www.scielo.br/pdf/rlae/v18n2/es_09.pdf
Protocolo para el manejo estandarizado del paciente con catéter periférico, central y permanente. Secretaria de Salud [Internet]. 2012. [Consultado 19 septiembre 2019]. Disponible en: http://www.cpe.salud.gob.mx/site3/publicaciones/docs/protocolo_manejo_estandarizado.pdf.
Bradford N, Edwards R, Chan R. Heparin versus 0.9% sodium chloride intermittent flushing for the prevention of occlusion in long term central venous catheters in infants and children. Int J Nurs Stud [Internet]. 2016; 59: 51-59. Disponible en: doi: 10.1016/j.ijnurstu.2016.02.014.
Konstantinidi A, Sokou R, Parastatidou S, Lampropoulou K, Katsaras G, Boutsikou T, et al. Clinical Application of Thromboelastography/Thromboelastometry (TEG/TEM) in the Neonatal Population: A Narrative Review. Semin Thromb Hemost [Internet]. 2019; 45 (5): 449-457. Disponible en: doi: 10.1055/s-0039-1692210.
Eichel V, Papan C, Mutters N. Update Hygiene; Prevention of vascular Catheter – Associated Infections in Premature an Newborn Infant. Klin padiatr [Internet]. 2019; 231 (4): 177-182. Disponible en: doi: 10.1055/a-0883-5350.
Karagiannidou S, Zaoutis T, Maniadakis N, Papaevangelou V, Kourlaba G. Attributable Length of stay and cost for pediatric and neonatal central line-associated bloodstream infection in Greece. J Infect Public Health [Internet]. 2019; 12 (3): 372-379. Disponible en: doi: 10.1016/j.jiph.2018.12.004.
Renfeng L, Xia C, Tian S, Xiong L. Applicarion of peripherally inserted central catheters in critically ill newborns experience from a neonatal intensive care unit. Medicine [Internet]. 2019; 98 (32): e15837. Disponible en: doi: 10.1097/MD.0000000000015837.
Sobczak A, Klepacka J, Amrom D, Zak I, Kruczek P, Kwinta P. Umbilical catheters as vectors for generalized bacterial infection in premature infants regardless of antibiotic use. J Med Microbiol [Internet]. 2019; 68 (9): 1306-1313. Disponible: doi: 10.1099/jmm.0.001034.
Ly C. The care of skin lesions caused by extravasation of intravenous fluids in peripheral venous perfusión. Arch Pediatri [Internet]. 2017; 24 (9): 884-893. Disponible en: doi: 10.1016/j.arcped.2017.06.011.
Huelt E, Bartley W, Morris D, Reasbeck D, McKtrick-Bandy B, Yates C. Collagenase for Wound Debridement in the neonatal intensive Care Unit: A Restrospective Case Series. Pediatr Dermatol [Internet]. 2017; 34 (3): 277-281. Disponible en: doi: 10.1111/pde.13118.
Boyar V, Galiczewski C. Efficacy of deshidrated Human Amniotic Membrane Allograft for the treatment of severe extravasarion injuries in preterm neonates. Wounds [Internet]. 2018; 39 (8): 224-228.
- Macias A et al. Manejo intravenoso en pediatría y sus complicaciones infecciosas: definición del problema y propuesta de solución. 2000; 14 (2): 98-105.
- Chabni N, Regagba D, Meguenni K, Ghomari S, Smahi M. Facteurs de risque de l’infection nosocomiale au niveau du service de néonatologie polyvalente de l’établissement hospitalier spécialisé mère-enfant de Tlemcen à l’Ouest algérien, "étude cas-témoins". Jourbak de Pediatrie et de Puèriculture [Internet]. 2015; 28 (2): 71-79.Disponible en: doi: 10.1016/j.jpp.2015.02.006.
- Dubbink-Verheij G, Bekker V, Pelsma I, van Zwet E, Smits-Wintjens V, Steggerda SJ Te Pas A, Lopriore E. Bloodstream Infection Incidence of Different Central Venous Catheters in Neonates: A Descriptive Cohort Study. Frontiers in pediatrics [Internet]. 2017; 5 (142): 1-7. Disponible en: doi: 10.3389/fped.2017.00142.
- Yamaguchi R, Noritomi D, Degaspare N, Muñoz G, Porto A, Costa S, et al. Peripherally inserted central catheters are associated with lower risk of bloodstream infection compared with central venous catheters in paediatric intensive care patients: a propensity-adjusted analysis. Intensive Care Med [Internet]. 2017; 43 (8): 1097-1104. Disponible en: doi: 10.1007/s00134-017-4852-7.
- Dahan M, O'Donnell S, Hebert J, Gonzales M, Lee B, Chandran A, et al. CLABSI Risk Factors in the NICU: Potential for Prevention: A PICNIC Study. Infect Cont Hosp Epidemiol [Internet]. 2016; 37 (12): 1446-1452. Disponible en: doi: 10.1017/ice.2016.203.
- Concannon C, Van Wijngaarden E, Stevens V, Dumyati G. The Effect of Multiple Concurrent Central Venous Catheters on Central Line–Associated Bloodstream Infections. Infect Cont Hosp Epidemiol [Internet]. 2014; 35 (9): 1140-1146. Disponible en: doi: 10.1086/677634.
- Cheng H, Lu C, Huang L, Lee P, Chen J, Chang L. Increased frequency of peripheral venipunctures raises the risk of central-line associated bloodstream infection in neonates with peripherally inserted central venous catheters. J Microbiol Immunol [Internet]. 2016; 49 (2): 230-236. Disponible en: en: 10.1016/j.jmii.2014.06.001.
-Sanderson E, Yeo K, Wang A, Callender I, Bajuk B, Boilisetty S, Lui K. Dwell time and risk of central-line-associated bloodstream infection in neonates. J Hosp Infect [Internet]. 2017; 267-274. Disponible en: doi: 10.1016/j.jhin.2017.06.023.
- Silveira R, Teixeira D, Viu N, Ortega G, Matos A, Figueiredo S, et al. Peripherally inserted central catheters are associated with lower risk of bloodstream infection compared with central venous catheters in paediatric intensive care patients: a propensity-adjusted analysis. Intens Care Med [Internet]. 2017; 43 (8): 1097-1104. Disponible en: doi: 10.1007/s00134-017-4852-7.
- Gnannt R, Patel P, Temple M, Brashdi Y, Amaral J, Parra D, et al. Peripherally Inserted Central Catheters in Pediatric Patients: To Repair or Not Repair. Cardiovasc Inter Rad [Internet]. 2017; 40 (6): 845-851. Disponible en: doi: 10.1007/s00270-017-1580-x.
-Arnts I, Schriivers N, van der Filer M, Groenewpud J, Antonius T, Liem K. Central line bloodstream infections can be reduced in newborninfants using the modified Seldinger technique and care bundles of preventative measures. Acta Paediatr [Internet]. 2015; 104 (4): 152-157. Disponible en: doi: 10.1111/apa.12915.
-Kaufman D, Blackman A, Conaway M, Sinkin R. Nonsterile glove use in addition to hand hygiene to prevent late-onset infection in preterm infants: randomized clinical trial. JAMA Pediatr [Internet]. 2014; 168 (10): 909-916. Disponible en: doi: 10.1001/jamapediatrics.2014.953.
-Litz C, Tropf J, Danielson P, Chandler N. The idle central venous catheter in the NICU: When should it be removed?. J Pediatr Surg [Internet]. 2018; 53 (7): 1414-1416. Disponible en: doi: 10.1016/j.jpedsurg.2017.10.060.
-Greenberg R, Cochran K, Smith B, Edson B, Schulman J, Lee Henry, et al. Effect of Catheter Dwell Time on Risk of Central Line–Associated Bloodstream Infection in Infants. Pediatrics [Internet]. 2015; 136 (6): 1081-1086. Disponible en: doi: 10.1542/peds.2015-0573.
-Wu J, Mu D. Vascular catheter-related complications in newborns. J Paediatr Child Health [Internet]. 2012; 48 (2): 91-95. Disponible en: doi:10.1111/j.1440-1754.2010.01934.x.
-Janssen L, Tostmann A, Hopman J, Liem K. 0.2% chlorhexidine acetate as skin disinfectant prevents skin lesions in extremely preterm infants: a preliminary report. Arch Dis Child Fetal Neonatal Ed [Internet]. 2018; 103 (2): 97-100. Disponible en: doi: 10.1136/archdischild-2017-312694.
- Kieran E, O’Sullivan A, Miletin J, Twomey A, Knowles S, Finbarr C, et al. 2% chlorhexidine–70% isopropyl alcohol versus 10% povidone–iodine for insertion site cleaning before central line insertion in preterm infants: a randomised trial. Arch Dis Child-Fetal [Internet]. 2018; 103: 101-106. Disponible en: doi: 10.1136/archdischild-2016-312193.
- Cleves D, Pino J, Patiño J, Rosso F, Vélex J, Pérz P. Effect of chlorhexidine baths on central-line-associated bloodstream infections in a neonatal intensive care unit in a developing country. J Hosp Infect [Internet]. 2018; 100 (3): 196-199. Disponible en: doi: 10.1016/j.jhin.2018.03.022
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