Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns

OBJECTIVE: To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns. METHOD: A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit. RESULTS: Seven nurses participated in...

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Detalles Bibliográficos
Autores principales: Pereira, Higor Pacheco, Secco, Izabela Linha, Arrué, Andrea Moreira, Pontes, Letícia, Danski, Mitzy Tannia Reichembach
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidade de São Paulo, Escola de Enfermagem 2023
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328393/
https://www.ncbi.nlm.nih.gov/pubmed/37402230
http://dx.doi.org/10.1590/1980-220X-REEUSP-2022-0347en
Descripción
Sumario:OBJECTIVE: To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns. METHOD: A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit. RESULTS: Seven nurses participated in the research. Catheter pre-insertion, insertion and maintenance were assessed using the conventional and modified Seldinger technique. Reliability was satisfactory in pre-test, 5.40 (Md = 6.00), and post-test, 5.94 (Md = 7.00), and perfect in the items about device insertion and maintenance. There was low assertiveness in the items on indication, microintroduction procedure via ultrasound, limb repositioning and disinfection of connections/connectors. CONCLUSION: Despite the Modified Seldinger Technique expanding some stages of execution over the traditional method of percutaneous catheterization, nurses were more assertive after theoretical-practical training. The technology was implemented and is in the process of being implemented in the health service.

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