Validação clínica do diagnóstico “Trauma vascular periférico” em crianças de 6 meses a 12 anos

Abstract

Prospective cohort study aimed to realize the clinical validation of the nursing diagnoses “Peripheral Vascular Trauma” and analyze his incidence in children between 6 months and 12 years old. Participants investigated had multiple entries in the cohort defined by the first puncture demítrio. Techniques were used triangulation of methods for data collection. The output of the cohort was defined by high or by the removal of the catheter when not identified any manifestation of vascular trauma. The data were analyzed in accordance to simple and percentual incidence, risk chance obtained from relative risk, Pearson Test, Factorial Analyses and Logistic Regression. It was evaluated 338 peripheral punctures, being 63.9% in boys, 45.9% in children of 6 months to 2 years old, 65.4% in skins brown or black and 68.9% without risk factor for cardiovascular disease. The average length of hospital stay was 5.69 days and average length of stay of 2.7 days in the cohort. The vessels were punctured small caliber (95%), non-palpable (86.4%), straight (27.5%) out of the joint (60.4%) and located on the back of the hands (51.2%). The catheters used were flexible and Chuck, with 94.4% of 24G. Demítrio punctures occurred in the left (54.7%) in the proximal third (24.6%) and the posterior (60.7%). Some related factors (intervening variables: size of the catheter, hygiene and humidity) were associated with defining caracteristics (outcome variables: occurrence of discoloration, integrity, local temperature, functional capacity and sensitivity) in diagnosing vascular trauma peripheral.The characterization and descriptive analysis of the process of puncturing the peripheral vessels in children followed in the present investigation possible: 1) addressing the validation of the nursing diagnoses peripheral vascular trauma; 2) delineate the specificity of this process the child audience, 3) highlight the need for the nurse to control intervening variables that can be prevented or treated with conduct of its technical and legal competence.