Success in peripheral intravenous catheterization
Conditions
Interventions
The children will be randomly allocated to an intervention group, in which peripheral intravenous catheterization will be performed with the aid of the Venoscope IV Plus® transilluminator, and a contr
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Sponsors
Universidade Federal de São Paulo
Universidade Federal de São Paulo
Eligibility
Age
1 Months to 12 Years
Inclusion criteria
Inclusion criteria: Age between 29 days of life and 12 incomplete years; CIP performed on a day shift; Elective CIP indication with catheter over needle; Stable clinical or surgical conditions; First peripheral intravenous catheterization performed in the studied hospital units
Exclusion criteria
Exclusion criteria: Children and / or family members who give up on participating in the research, after their inclusion; Children with more than 4 attempts at peripheral intravenous catheterization
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success of peripheral intravenous catheterization will be determined by the insertion of the intravenous device on the first attempt at catheterization and progression without any resistance. It will be confirmed through the visualization of blood return along the catheter cannula and free infusion of 2ml of 0.9% sodium chloride, without alteration in the inspection and palpation of the insertion site, such as painful complaints reported by the child and / or signs of infiltration or hematoma formation. | — |
Secondary
| Measure | Time frame |
|---|---|
| · Number of CIP attempts (described as 1, 2, 3, 4, or more attempts). The number of attempts greater than four will be recorded when the CIP is performed by members of the nursing staff of the units surveyed. · Reason for failure / failure to obtain access on the first and last CIP attempt (described as hematoma, vessel transfixation, ineffective puncture, catheter obstruction, pain, infiltration or others). Ineffective puncture will be defined in this study as the condition in which the vessel is not accessed. The failure will be described as failing to reach the intravenous route until the fourth attempt of CIP, considering the aforementioned clinical conditions, regarding blood return and flushing with 0.9% NaCl in each attempt. Failure to obtain the intravenous route via the peripheral route will be defined as maintaining the failure of the PIC after the fourth attempt and requiring the insertion of a central venous catheter or changing the route of administration of the drugs and / or solutions prescribed for the oral or intramuscular route, according to the routine of the researched units. · Time for visualization and selection of the vessel to be catheterized (Described in seconds). To count this time, the main researcher will use a stopwatch, which will be turned on when the transilluminator light is projected on the child's skin and its evaluation in the experimental group begins, and the application of the tourniquet above the area that will be inspected or palpated in the control group. The timer will be stopped when the professional responsible for the evaluation decides on the vessel to be catheterized and communicates this to the main researcher. · Time to successfully perform the CIP (Described in seconds). The registration of this variable will be performed from the moment antisepsis of the area containing the vessel selected for catheterization begins until confirmation of success, both in the experimental group and in the control group. · T | — |
Countries
Brazil
Contacts
Public ContactLuciano Santos
Universidade Federal de São Paulo
Outcome results
None listed