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Peripherally inserted central catheter obstruction in packed red blood cell transfusions in neonates

Obstrucción de catéter central insertado periféricamente en transfusiones de concentrado de glóbulos rojos en neonatos

ABSTRACT

Objectives:

to estimate incidence and free time of peripherally inserted central catheter obstruction in newborns undergoing red blood cell transfusion in the first 24 hours after the procedure.

Methods:

a longitudinal study, carried out with neonates in Neonatal Intensive Care Unit at a teaching hospital in Paraná, between January and July 2019. The sample consisted of 46 transfusion events performed in neonates through a peripherally inserted central catheter. Analysis performed according to descriptive statistics.

Results:

thirty-one catheters were analyzed, inserted in 24 neonates, through which 46 red blood cell transfusions were performed. Most neonates were male, gestational age <32 weeks, weight <1,500 grams, hospitalized mainly for prematurity. Among the 31 catheters, one (3.2%) presented obstruction after transfusion.

Conclusions:

The occurrence of obstructions immediately after transfusion was low and the catheters remained complication free for the next 24 hours.

Descriptors:
Central Venous Catheterization; Erythrocyte Transfusion; Evidence-Based Practice; Neonatal Nursing; Newborn

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