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Permeabilidade do cateter venoso central: uma revisão sistemática da literatura
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A complexidade das terapêuticas de enfermagem ao cliente exige do enfermeiro a adoção de uma prática clínica baseada na evidência científica. No contexto da otimização do cateter venoso central existem controvérsias acerca do uso ou não de heparina como meio para diminuir o risco de obstrução pelo que, o enfermeiro deve conhecer a melhor evidência disponível para promover a segurança do cliente. Neste contexto, pretendeu-se fundamentar a tomada de decisão sobre qual a solução (heparinizada ou soro fisiológico) mais efetiva na prevenção da obstrução do Cateter Venoso Central. Foi realizada uma revisão sistemática da literatura, entre 14 de outubro de 2012 e 15 de janeiro de 2013 sendo analisados artigos científicos incluídos nas bases de dados MEDLine with Full Text, Cochrane Central Register of Controlled Trials e CINAHL Plus with Full Text presentes nos motores de busca PubMed e EBSCOhost Web. Aparentemente não existem diferenças entre o uso de solução heparinizada e uso de cloreto de sódio 0,9% no que respeita à permeabilidade do cateter venoso central em clientes adultos. A evidência científica sobre o assunto é reduzida, havendo necessidade de se realizarem mais ensaios clínicos randomizados comparando o uso destas soluções.
The complexities of therapeutic nursing require the adoption of clinical practice based on scientific evidence. In the context of optimization of the use of central venous catheters, there is much controversy regarding the use or not of heparin as a way to reduce the risk of obstruction. Therefore nurses should know about the best available scientific evidence in order to promote patient safety. In this context, the idea was to find out which solution (heparin or saline) is more effective in preventing obstruction of central venous catheters. We conducted a systematic literature review between 14 October 2012 and 15 January 2013, and analyzed scientific papers included in the databases MEDline with full text, Cochrane Central Register of Controlled Trials and CINAHL Plus with Full Text presented in PubMed and EBSCOhost Web. Normal saline solution seems to be as effective as a heparinized solution with regard to catheter patency in adult patients. The scientific evidence on the subject is limited, and there is need to conduct more randomized clinical trials comparing the use of these solutions.
The complexities of therapeutic nursing require the adoption of clinical practice based on scientific evidence. In the context of optimization of the use of central venous catheters, there is much controversy regarding the use or not of heparin as a way to reduce the risk of obstruction. Therefore nurses should know about the best available scientific evidence in order to promote patient safety. In this context, the idea was to find out which solution (heparin or saline) is more effective in preventing obstruction of central venous catheters. We conducted a systematic literature review between 14 October 2012 and 15 January 2013, and analyzed scientific papers included in the databases MEDline with full text, Cochrane Central Register of Controlled Trials and CINAHL Plus with Full Text presented in PubMed and EBSCOhost Web. Normal saline solution seems to be as effective as a heparinized solution with regard to catheter patency in adult patients. The scientific evidence on the subject is limited, and there is need to conduct more randomized clinical trials comparing the use of these solutions.
Descrição
Palavras-chave
Cateter Catheter Cloreto de sódio Heparin Heparina Sodium chloride
Contexto Educativo
Citação
Encarnação, R. M. C., & Marques, P. (2013). Permeabilidade do cateter venoso central: uma revisão sistemática da literatura. Revista de Enfermagem Referencia, 2013(9), 161-169. https://doi.org/10.12707/RIII1298