Factors related to complications of the invasive blood pressure system among adult and elderly patients: a prospective study.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2025-01-31 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7097.4443

Willian Marques de Souza, Victor Hugo Baldan Cypriano, Rosângela Aparecida de Sousa, Rafael Luis Bressani Lino, Ana Luiza Mroczinski, Danielle Cristina Garbuio

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Abstract

Objective: to identify the main factors related to complications of the invasive blood pressure system.

Method: prospective study conducted with patients over 18 years of age admitted to intensive care, using a device for measuring invasive blood pressure. Participants were monitored during the catheter dwell-time and sociodemographic, clinical and device data were collected. The outcome analyzed was removal due to non-indication of use or due to complications. Student's t-test, Mann-Whitney U test, chi-square test and Fisher's exact test were used for the analyses.

Results: 50 participants were included and monitored, and most devices were installed in the radial artery (86%), with a 20-gauge catheter (50%), all with a flexible catheter. Each patient remained, on average, 4.36 days (SD: 3.504) with the device. Regarding the outcomes, 60.0% of the devices were removed due to non-indication of use and 40.0% due to complications. Phlebitis was the most prevalent complication, and pressure in the bag was the factor associated with catheter removal before the time of indication (p=0.046).

Conclusion: the main complications associated with this device were obstruction and phlebitis, while pressure in the bag was the factor related to catheter removal before indication.

Background: (1) Phlebitis was the most prevalent complication. (2) Pressure in the bag was associated with catheter removal before indication. (3) Length of stay and use of sedation were related to the onset of phlebitis.

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成人和老年患者侵入性血压系统并发症的相关因素：一项前瞻性研究

目的：探讨有创血压系统并发症的主要影响因素。方法：采用有创血压测量装置对18岁以上重症监护患者进行前瞻性研究。在留置导管期间对参与者进行监测，并收集社会人口学、临床和设备数据。分析的结果是由于无使用指征或由于并发症而切除。采用学生t检验、Mann-Whitney U检验、卡方检验和Fisher精确检验进行分析。结果：50名参与者被纳入监测，大多数设备安装在桡动脉（86%），20号导管（50%），均为柔性导管。每位患者使用该装置的平均时间为4.36天（SD: 3.504）。至于结果，60.0%的器械因无使用指征而被移除，40.0%因并发症而被移除。静脉炎是最常见的并发症，尿袋压力是指征前拔除导管的相关因素（p=0.046）。结论：该装置的主要并发症为梗阻和静脉炎，而导管袋内压力是指征前拔除导管的相关因素。背景：(1)静脉炎是最常见的并发症。(2)指征前取管与袋内压力有关。(3)住院时间和镇静的使用与静脉炎的发生有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.