A Utilização do Cateter Central de Inserção Periférica em uma Unidade de Terapia Intensiva Neonatal

Vanessa Vieira da Silva; Brenda Dantas Ferraz; Ana Maria Marques de Jesus; Isabelle de Souza Januaria; Camilla Lorraine Moreira Dias; Eliane Ferreira Leite; Cynthia Márcia Romano Faria Walty

doi:10.36489/saudecoletiva.2026v17i104p18876-18889

Authors

Vanessa Vieira da Silva Enfermeira Neonatologista; Hospital Sofia Feldman (MG); Brasil https://orcid.org/0000-0001-8236-1915
Brenda Dantas Ferraz Enfermeira Neonatologista. Hospital Municipal de Contagem (MG), Brasil https://orcid.org/0000-0003-4921-0343
Ana Maria Marques de Jesus Enfermeira Neonatologista. Hospital Sofia Feld- man (MG), Brasil https://orcid.org/0009-0002-7845-0848
Isabelle de Souza Januaria Mestra em Gestão e Educação na Saúde e Enfermagem; Universidade Federal de Minas Gerais (UFMG); Brasil. https://orcid.org/0000-0002-0143-4113
Camilla Lorraine Moreira Dias Mestre em Enfermagem; Hospital Sofia Feldman (MG); Brasil https://orcid.org/0000-0003-3806-0837
Eliane Ferreira Leite Enfermeira Neonatologista; Hospital Sofia Feld- man (MG); Brasil https://orcid.org/0009-0009-7198-2041
Cynthia Márcia Romano Faria Walty Doutora em Enfermagem e Saúde; Universidade Federal de Minas Gerais (UFMG); Brasil https://orcid.org/0000-0003-3998-8418

DOI:

https://doi.org/10.36489/saudecoletiva.2026v17i104p18876-18889

Keywords:

Peripherally inserted catheter, Neonatal nursing, Adverse events or Patient Safety, Neonatal Intensive Care Unit

Abstract

Objective: To investigate the use of Peripherally Inserted Central Catheters (PICC) in a Neonatal Intensive Care Unit. Method: Quantitative, retrospective study conducted in a public maternity hospital in Belo Horizonte, Brazil, including 170 newborns who used the catheter between January and July 2022. Statistical analysis was performed using Stata® version 16, and tables were prepared in Microsoft Excel® 2019. Results: Male newborns predominated (53.6%). Most catheters were inserted in moderate preterm infants (54.8%), followed by late preterm infants (17.9%). Regarding birth weight, low birth weight (36.9%) and very low birth weight (31.6%) newborns were the most frequent. The main indication for catheter insertion was Total Parenteral Nutrition (53.6%). The primary reasons for catheter removal were completion of therapy (45.2%) and phlebitis (24.4%). Conclusion: The study highlights the relevance of the catheter in neonatal care and underscores the need for strategies that improve its insertion and maintenance, thereby promoting greater safety for newborns.

References

Sá Neto JA, Rodrigues BMRD. Tecnologia como fundamento do cuidar em neonatologia. Texto Contexto Enferm. 2010;19(2):372-7.

Freitas KKA, et al. Inserção e manejo do cateter central de inserção periférica em recém-nascidos de alto risco. Contexto Saúde. 2025;25(50). doi:10.21527/2176-7114.2025.50.14439.

Pérez MF, et al. Risk factors associated with complications of peripherally inserted central catheter in newborn infants. Andes Pediatr. 2021;92(5):710-7.

Beleza LO, Ribeiro LM, Vasques CI, et al. Atualização sobre cateter central de inserção periférica neonatal. Rev Enferm UERJ. 2021;29:eXXXXX.

(se quiser, posso completar o identificador eletrônico)

Conselho Federal de Enfermagem (COFEN). Resolução nº 258, de 12 de julho de 2001. Dispõe sobre a inserção de cateter periférico central pelos enfermeiros. Rio de Janeiro: COFEN; 2001.

Conselho Federal de Enfermagem (COFEN). Parecer de relator nº 243/2017. Minuta de resolução que atualiza a normatização do procedimento de inserção, fixação, manutenção e retirada do cateter periférico central por enfermeiro (PICC). Brasília (DF): COFEN; 2017.

Silva RMM, Bragato AG, Ferreira H, et al. Bundle para manuseio do cateter central de inserção periférica em neonatos. Acta Paul Enferm. 2019;32:eXXXXX.

(posso completar se desejar)

Zhang L, Yang L, Dong W, et al. Risk factors and clinical analysis of peripherally inserted central catheter-related fungal colonization in premature infants. Sci Rep. 2021;11:XXXXX.

Wang F, et al. Risk factors for peripherally inserted central venous catheter (PICC): a pediatric cohort study. Medicine (Baltimore). 2023;102:eXXXXX.

Masuda Y, Nagata K, Kondo T, Fukuta A, Maniwa J, Kawakubo N, et al. Effects of neonatal peripherally inserted central venous catheter failure in the neonatal intensive care unit and associated clinical implications. Pediatr Int. 2025;67(1):e70147. doi:10.1111/ped.70147.

Miranda LL, et al. Manutenção do cateter central de inserção periférica neonatal: scoping review. Online Braz J Nurs. 2024;23:eXXXXX.

Baggio MA, Cheffer MH, Luz MAP, Sanches MM, Berres R. Utilização do cateter central de inserção periférica em neonatos: análise da indicação à remoção. Rev Rene. 2019;20:e41279. doi:10.15253/2175-6783.20192041279.

Silva RMM, Oliveira TS, Prado PF. Perfil epidemiológico de recém-nascidos prematuros em unidade neonatal. Rev Enferm Atual In Derme. 2019;87(27):1-8.

Kim JH, Park S, Lee J. Sex differences in neonatal morbidity and the need for invasive procedures: a population-based cohort study. J Perinatol. 2022;42(5):624-32.

Cowl J, McGinley BM, Burch K. Vascular access practices in premature infants: a multicenter audit. Adv Neonatal Care. 2020;20(4):E77-85.

Infusion Nurses Society. Infusion therapy standards of practice. 9th ed. Boston: Infusion Nurses Society; 2024.

Athanasiou M, Konstantinidi A, Karatza A. Umbilical and peripherally inserted central venous catheters in neonatal intensive care: complications and outcomes. J Neonatal Nurs. 2020;26(2):83-9.

Ohki Y, Tanaka S, Segawa Y. Complications of peripherally inserted central catheters in very low birth weight infants: a prospective cohort study. Pediatr Crit Care Med. 2021;22(3):e184-92.

Jain A, Mukhopadhyay K, Malhi P. Indications and outcomes associated with parenteral nutrition in preterm neonates: a systematic review. Clin Nutr ESPEN. 2022;50:268-76.

Costa P, Santos RP, Duarte ED. Complicações relacionadas ao PICC em prematuros: estudo multicêntrico. Rev Paul Pediatr. 2020;38:e2019030.

Chen F, Li Y, Zhang J. Risk factors for phlebitis in neonates with peripherally inserted central catheters. BMC Pediatr. 2023;23(1):411.

Tay JW, Lewindon P, Cartwright D. Accuracy of bedside methods for estimating PICC tip placement in neonates. J Vasc Access. 2022;23(4):604-10.

Elia F, Ferrero A, Aprà F. Ultrasound-guided peripheral and central venous access in newborns: effectiveness and safety. Eur J Pediatr. 2022;181(4):1493-501.

Mendes PB, Rodrigues AM, Guimarães GP. Intervenções para reduzir complicações associadas ao PICC em neonatologia: revisão sistemática. Rev Bras Enferm. 2023;76(1):e20220245.

Li H, Wang Q, Zhang Y. Impact of educational programs on reducing PICC-related complications in neonatal intensive care units: a meta-analysis. Int J Nurs Stud. 2024;148:104608.