Banca de DEFESA: ERICLES LOPES DE MOURA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ERICLES LOPES DE MOURA
DATE: 09/02/2024
TIME: 14:00
LOCAL: Departamento de Enfermagem
TITLE:

Implantation of a Peripherally Inserted Central Catheter guided by ultrasound versus blind puncture for the prevention of vascular trauma: a Systematic Review,

KEY WORDS:

Key-words: Vascular Injury; Peripherally Inserted Central Catheter; Intensive Care Unit;
Adult.

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUBÁREA: Enfermagem Médico-Cirúrgica
SUMMARY:

Introduction: The evolutionary history of intravenous therapy points to a development
observed as a result of the advancement of studies and research derived from several other
areas of knowledge. For this reason, it should not be reduced to a simple technique for
carrying out therapy, given its well-structured arsenal of knowledge. Tunneled central
catheters began to be used in the 1980s, however, regarding Peripherally Inserted Central
Catheters (PICC), there are records of the beginning of their implementation since the 1970s.
Their significant use in the care setting Critics consider the existence of conditions that
increase the chance of complications related to puncture, when compared to other
intravascular devices. However, the benefits of this device do not exempt it from the
occurrence of adverse events, such as vascular trauma that usually occurs after its
implantation. The prevention of this outcome is what configures the object of this study.
Objective: To compare the effectiveness of implanting a Peripherally Inserted Central
Catheter using ultrasound-guided puncture with blind puncture for preventing vascular
trauma in adult patients admitted to an intensive care unit (ICU). Methodology: This is a
systematic review of effectiveness. This design comprises a type of study capable of
synthesizing the results of primary studies that meet the eligibility criteria to answer a
research question. The recommendations of the JBI Manual for Evidence Synthesis were met;
and to provide greater methodological rigor to its structure and content, the initiatives of the
Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols 2020
statement were complied with. For data management purposes, a search and review protocol
was drawn up, the registration of which on the International Prospective Register of
Systematic Review platform it was registered under the following inscription:
CRD42023467957. Data collection occurred through a paired search with independent
reviewers in ten data sources, and the studies were selected according to the eligibility criteria
adopted for the purposes of this review. Data extraction took place by completing a semi-
structured instrument containing the variables of interest to the research, from which
descriptive analyzes were processed as well as critical assessment of the methodological
quality, risk of bias and strength of evidence of the studies that were part of the final sample.
Results: After using the search strategy syntaxes, a total of 1.024 articles were retrieved to
read the titles and abstracts. From this number, three studies were selected for full reading, as
they met the scope of this review. All of them were randomized clinical trials, however, one
of them was excluded because it was not available in full text in the database. The final
sample was composed of four studies, which were subjected to a complete reading from

which the form for data extraction was completed, as well as the JBI Critical Assessment
Checklist for Randomized Controlled Trials was applied, in order to identify the risk of bias
and the methodological quality of the studies. Both studies compared the effectiveness of two
puncture methods for PICC implantation, between blind puncture and ultrasound-guided
puncture. As a result, it was observed that the use of ultrasound to guide the puncture was
superior to the conventional method for implanting the device, especially for the prevention
of postoperative complications. Conclusion: Ultrasound-guided puncture is a safe,
satisfactory and effective method for PICC implantation and prevention of vascular trauma in
adult patients admitted to the ICU.

COMMITTEE MEMBERS:
Presidente - 1552864 - ALLYNE FORTES VITOR
Interna - 1999246 - ISABELLE CAMPOS DE AZEVEDO
Externo à Instituição - KLEYTON SANTOS DE MEDEIROS