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

IF 1.2 4区医学 Q3 NURSING

Revista da Escola de Enfermagem da U S P Pub Date : 2023-01-01 DOI:10.1590/1980-220X-REEUSP-2022-0347en

Higor Pacheco Pereira, Izabela Linha Secco, Andrea Moreira Arrué, Letícia Pontes, Mitzy Tannia Reichembach Danski

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引用次数: 0

Abstract

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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危重新生儿经皮导管插管改良Seldinger技术的实施。

目的:探讨改良Seldinger技术在危重新生儿经皮置管中的应用。方法:与新生儿重症监护病房的新生儿专科护士进行准实验前后研究。结果:7名护士参与研究。采用常规和改进的Seldinger技术评估导管的预插入、插入和维持。前测和后测的信度分别为5.40 (Md = 6.00)和5.94 (Md = 7.00)，信度较好，其中器械插入和维护项目的信度较好。在指征、超声微导入程序、肢体重新定位和连接/连接器消毒项目中，自信程度较低。结论:改进的Seldinger技术虽然比传统的经皮置管方法增加了一些执行阶段，但经过理论和实践的培训后，护士更加自信。该技术已经在卫生服务部门实施，目前正在实施过程中。

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 da Escola de Enfermagem da U S P 医学-护理

CiteScore

1.70

自引率

11.10%

发文量

254

审稿时长

3-8 weeks

期刊介绍： The University of São Paulo Nursing School Journal (Revista da Escola de Enfermagem da USP, REEUSP) is a bimonthly periodical revised by fellow nurses, which has the objective of publishing empirical or theoretical articles that represent a significant advance for the professional practice or for the fundaments of Nursing Mission: to stimulate knowledge production and dissemination in Nursing and related areas, focusing on international interlocution to advance Nursing science. Areas of Interest: Nursing and Health Its abbreviated title is Rev Esc Enferm USP, which should be used in bibliographies, footnotes and bibliographical references and strips.