Central catheter of peripherally insertion in neonates: integrative literature review

Abstract

Objective: To evaluate the evidence published on the practices of the use of Peripheral Inserted Central Venous Catheter (PICC) in newborns. Method: Integrative review researching the databases LILACS, MEDLINE, and COCHRANE, from 2008 to 2012. Results: Forty one articles were selected and ranked by evidence level: 4,9% level one; 9,8% level two; 31,7% level three; 34,2% level four; 17% level five; and 2,4% level six. These articles were grouped into the categories: general complications; blood flow infection related to catheter; utilization description and insertion of practices and maintenance. Conclusion: The evidence highlighted the importance of the permanent education for the insertion, maintenance and application of new technologies, in order to minimize the unwanted effects of the use of PICC. It was noted that there is a lack of national production of studies that showed strong evidence levels.