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Published on: April 7, 2023
Implementation of modified Seldinger technology for percutaneous catheterization in critically ill newborns
Higor Pacheco Pereira1, Izabela Linha Secco1, Andrea Moreira Arrué2
1Universidade Federal do Paraná, Hospital Infantil Waldemar Monastier, Campo Largo, PR, Brazil.
Objective:
To describe the implementation of Modified Seldinger Technology for percutaneous catheterization in critically ill newborns.
Method:
A quasi-experimental before- and-after study, carried out with neonatologist nurses in a Neonatal Intensive Care Unit.
Results:
Seven nurses participated in the research. Catheter pre-insertion, insertion and maintenance were assessed using the conventional and modified Seldinger technique. Reliability was satisfactory in pre-test, 5.40 (Md = 6.00), and post-test, 5.94 (Md = 7.00), and perfect in the items about device insertion and maintenance. There was low assertiveness in the items on indication, microintroduction procedure via ultrasound, limb repositioning and disinfection of connections/connectors.
Conclusion:
Despite the Modified Seldinger Technique expanding some stages of execution over the traditional method of percutaneous catheterization, nurses were more assertive after theoretical-practical training. The technology was implemented and is in the process of being implemented in the health service.
