Non-elective removal of the peripherally inserted central catheter in the neonatal unit

Abstract

The objective was to identify the determinant factors of the non-electiveremoval of the peripherallyinserted centralcatheter in newborns admitted toa Neonatal Intensive Care Unit. A cross-sectional study conducted in referencematernity for high-riskmaternal-infant attention located in Northeastern Brazil. The data collection was conducted with 108 neonates during February to November 2016. We observed the prevalence of male neonates (60.19%), born from cesarean section birth (74.07%) and low weight at birth (29.62%). The non-elective removal occurredin 41.66% neonates by infiltration (12.03%), accidental traction (11.11%), external rupture (9.25%), occlusion (5.55%), bad positioning (1.85%) and infection suspicion (1.85%). The prevalence and non-elective removal factors indicated the need for Nursing strategies to prevent avoidable complications catheter-related, noting the training and improvementof abilities regarding insertion, maintenance, removal and, observation of this device.