Keywords
Pediatric patient
Ultrasound
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Abstract
Objective: To characterize the profile of pediatric patients undergoing central venous access, as well as: its indication, diagnosis, insertion site, use of ultrasound, performance of exchange and reason for catheter exchange. Methods: A study with 360 medical records of patients admitted to the Pediatric Hospital in Piauí, aged zero to thirteen years from January 1, 2022, to August 31, 2023, who underwent central venous access. Results: Of the patients analyzed, 45.83% were under 1 year of age, 61.11% were male, with 37.78% weighing 0 to 5kg. The main diagnosis was pneumonia (24.17%). The internal jugular vein accounted for 75.28%, with 60.83% on the right side. 76.39% of the patients had first access, but the majority did not need an exchange (76.39%). However, of those who required an exchange, the main reasons were malfunction/leakage and inadvertent loss. Ultrasound serving as a guide for puncture was performed in 83.06%. Conclusion: The profile was male, up to 5kg, in the age group of 0 to 5 years, with pneumonia as a diagnosis. Puncture guided by ultrasound of the right internal jugular vein should be prioritized. And the implementation of educational measures about catheter care is essential.
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