Placement, maintenance and handling of the peripherally inserted central venous catheter in patients submitted to chemotherapy treatment.
DOI:
https://doi.org/10.32635/2176-9745.RBC.1999v45n1.2766Keywords:
Peripherally Inserted Central Venous Cateter, Chemotherapy, Central Venous Access, NursingAbstract
Peripherally Insertion Central Catheter (PICC) represents today a new option for central venous access used by qualified nurses. This study evaluates PICCs placed in patients with the purpose of observing the length of stay, its efficacy in cytostatic treatments, to identify possible problems during placement and manipulation. and to suggest adequate techniques for the utilization of these devices in patients at Instituto Nacional do Câncer (INCA) /Hospital do Câncer. Forty catheters type L-Cath® were placed in patients at the Clinical Oncology Service. The data related to length of stay of the devices were analyzed using a median value, and the other results were also analyzed on a descriptive form. The complications that lead to the removal of the catheter were: externalization of the catheter caused by the inefficiency of the dressing adhesive, catheter occlusion, phlebitis, dermatitis caused by the dressings, perforation of the catheter by inadequate manipulation, and change on the clinical conduct. The permanence of the PICC on central venous varied between 1 and 169 days. The adequate techniques of placement. maintenance and handling of these catheters for patients at INCA /Hospital do Câncer were established following this study.
Downloads
References
Brown, J. - Peripherally Inserted Central Catheters. In: Tenenbaun,L.-Câncer Chemotherapy and Biotherapy. A Reference Guide. 2nded.Philadelphia: W.B. Saunders,429 -445,1994.
Hadaway, L. - State Boards of Bursing and Advanced Practice. J Intravenous Nurs, 14: 274-79,1991.
Hadaway, L.C.-Comparison of Vascular Access Devices. Sem Oncol Nurs, Aug: 11 (3): 1.54-166, 1995. DOI: https://doi.org/10.1016/S0749-2081(95)80025-5
Ryder, M.A. - Peripheral Access Options. In: Vascular Access in the Oncology Patient. Surgical Oncol Clin of North America, 3(4); 395-427,1995. DOI: https://doi.org/10.1016/S1055-3207(18)30434-4
Sobotta, J.; Becher, H. - Atlas de Anatomia Humana. 17" ed. Rio de Janeiro: Guanabara Koogan, (2):220-230,1977.
Rountree, D. - The PICC Catheter: A Different Approach. Am J Nurs, 91(8); 22-28, 1991. DOI: https://doi.org/10.2307/3426426
James, L.; Bledsoe, L.; Hadaway, L. C. – A retrospective look at trip location and complications of peripherally inserted central cateter lines. J Intraven Nurs, Mar-Apr; 16(2); 104-109,1993.
Runsey, K.A.; Richardson, D.K. - Management of Infection and Occlusion Associated with Vascular Access Devices. Semin Oncol Nurs, Aug; 11(3): 174-183, 1995. DOI: https://doi.org/10.1016/S0749-2081(95)80027-1
Ingle, R. J. - Rare Complications of Vascular Access Devices. Semin Oncol Nurs, Aug;
(3): 184-193,1995. DOI: https://doi.org/10.1016/0043-1648(94)06573-X
McDermott, M.K. – Patient Education and Compliance Issues Associated with Access Devices. Semin Oncol Nurs, Aug.; 11(3): 221 -226, 1995. DOI: https://doi.org/10.1016/S0749-2081(95)80032-8
Keegan-Wells, D. & Stewart, J.L. The Use of Venous Access Devices in Pediatric On-
cology Nursing Practice. J of Pediatric Oncology Nursing, Oct;4; 159-169, 1992.
Polit, D.F. & Hungler, B.P. – Fundamentos de Pesquisa em Enfermagem. 3ª ed. Porto Alegre: Artes Médicas, 1995.
Manual de Orientação - Elaboração de Trabalho Técnico-Científico / Universidade de São Paulo. Escola de Enfermagem. Serviço de Biblioteca e Documentação - São Paulo: Serviço de Biblioteca e Documentação da USP, 1994.
