Resumen

ROMANIELLO, Héctor O.. Incidencia de extravasación del líquido de perfusión por el uso de catéteres percutáneos. Arch. argent. pediatr. [online]. 2005, vol.103, n.1, pp.31-35. ISSN 0325-0075.

Introduction. The placement of percutaneous catheters (PC) as central vascular accesses has become one the most frequently performed procedures in neonatology. This fact has led to the recognition of a greater number of complications, which may increase the morbidity and/or mortality rates. Objectives. The main objective of our study was to assess the incidence of extravasation of perfusion liquid noticed as a complication in the use of PC. The secondary objectives were to identify the reasons for their removal and also their location. Population, materials and methods. A retrospective, observational, and descriptive study with the revision of record forms for 607 PC placed on 492 newborns (NB) at the neonatal intensive care unit of Penna Hospital, over a 37 months period. Results. The extravasation of hydration fluid in virtual spaces was observed in eight NB (1,31%). The most frequent cause of removal was the elective removal in 307 newborns (50%) and the most frequently used site was the upper limb in 398 newborns (65.56%). Conclusions. Extravasation of fluid in virtual spaces was observed in 1.32% of the PC placed, which represented 1 episode every 722 days/catheter. Elective removal represented 50% of removals. The most frequently used location was the upper limb. We emphasize the importance of clinical and radiological to asses the placement and monitoring of percutaneous catheters and their function.

Palabras clave : Percutaneous catheter; Newborn; Extravasation.

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