FACTORS ASSOCIATED WITH COMPLICATIONS RELATED TO THE USE OF PERIPHERALLY INSERTED CENTRAL CATHETER (PICC) IN NEONATES ADMITTED TO A NEONATAL INTENSIVE CARE UNIT

Abstract

This study aims to identify the clinical and care factors associated with the development of catheter-related complications in neonates admitted to the intensive care unit. This is an integrative review with qualitative analysis. Data collection was carried out in the Nursing Database (BDENF), Latin American and Caribbean Literature in Health Sciences (LILACS). A search was also conducted in the Scientific Electronic Library Online (SciELO), resulting in the collection of 79 studies. It was identified that the main clinical factors associated with complications were prematurity, respiratory distress, twin pregnancy, heart disease, and gastrointestinal disorders. The predominance of premature neonates shows a consistent pattern in the literature, indicating that clinical fragility, immunological immaturity, and greater exposure to invasive procedures contribute to the occurrence of these complications. It is concluded that prematurity, respiratory distress, and heart disease increase the risk of complications in neonates with catheters, as well as transient metabolic disorders and the use of two-way catheters, which stand out as risk factors for bloodstream infection. Obstruction, edema, extravasation, and accidental traction are the most frequently reported complications.