Technological resources in neonatology
evidence on the seldinger technique in central venous catheterization
DOI:
https://doi.org/10.5935/1415.2762.20210060Keywords:
Infant, Newborn, Central Venous Catheters, Patient Safety, TechnologyAbstract
Objective: to identify scientific evidence about the Seldinger technique in the insertion of central
venous catheters in Neonatology. Method: integrative review in SCOPUS, MEDLINE, Web of
Science, Science Direct, Alliance for Vascular Access Teaching and Research databases and citations
of interest. Held in December 2020, without time limits. Results: 804 articles were found. Of
these, 18 were included. The publications covered the period from 1982 to 2016. International
studies predominated, with low levels of evidence, developed by anesthesiologists and surgeons. The
Seldinger technique was considered an assertive method that guarantees a minimum incidence of
complications and offers patient safety. Furthermore, it is less stressful compared to direct puncture.
Conclusion: it is a technology that needs to expand the number of clinical trials to establish strong
evidence and incorporate it into qualified and safe care for newborns.
Downloads
References
Ullman AJ, Bernstein SJ, Brown E, Aiyagari R, Doellman D, Faustino
EVS, et al. The Michigan Appropriateness Guide for Intravenous
Catheters in Pediatrics: miniMAGIC. Pediatrics. 2020[citado em
maio 12];145(3):S269-84. Disponível em: http://pediatrics.
aappublications.org/cgi/pmidlookup?view=long&pmid=32482739
Barone G, Pittiruti M, Ancora G, Vento G, Tota F, D’Andrea V.
Centrally inserted central catheters in preterm neonates with weight
below 1500 g by ultrasound-guided access to the brachio-cephalic
vein. J Vasc Access. 2021[citado em 2020 ago. 10];22(3):344-52.
Disponível em: https://journals.sagepub.com/doi/10.1177/112
?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.
org&rfr_dat=cr_pub%20%200pubmed
Sarmento Diniz ER, Medeiros KS, Rosendo da Silva RA, Cobucci RN,
Roncalli AG. Prevalence of complications associated with the use of a
peripherally inserted central catheter in newborns: a systematic review
protocol. PLoS One. 2021[citado em 2020 ago. 10];16(7):e0255090.
Disponível em: doi: 10.1371/journal.pone.0255090
Rosado V, Camargos PA, Anchieta LM, Bouzada MC, Oliveira GM,
Clemente WT, et al. Fatores de risco para infecções relacionadas
ao cateter venoso central em uma população neonatal: revisão
sistemática. J Pediatr. 2018[citado em 2020 ago. 10]; 94:3-14.
Disponível em: doi: 10.1016/j.jped.2017.03.012
Li Renfeng, Xia C, Tian S, Lei X. Aplicação de cateteres centrais
de inserção periférica na experiência de recém-nascidos em
estado crítico de uma unidade de terapia intensiva neonatal.
Medicina. 2019[citado em 2020 ago. 10];98:32. Disponível em:
doi: 10.1097/MD.0000000000015837
Borghesan NBA, Demitto MO, Fonseca LMM, Fernandes CAM,
Costenaro RGS, Higarashi IH. Cateter venoso central de inserção
periférica: práticas da equipe de Enfermagem na atenção
intensiva neonatal. Rev Enferm UERJ. 2017[citado em 2020 ago.
;25:e28143. Disponível em: https://www.e-publicacoes.uerj.
br/index.php/enfermagemuerj/article/view/28143
Johnson KN, Thomas T, Grove J, Jarboe MD. Insertion of peripherally
inserted central catheters in neonates less than 1.5 kg using ultrasound
guidance. Pediatr Surg Int. 2016[citado em 2020 ago. 10];32(11):1053-
Disponível em: https://pubmed.ncbi.nlm.nih.gov/27590475/
Seldinger SI. Catheter replacement of the needle in percutaneous
arteriography. Acta Radiol. 2008[citado em 2020 ago. 10];49(434):47-
Disponível em: https://pubmed.ncbi.nlm.nih.gov/13057644/
Ostroff M, Zauk A, Chowdhury S, Moureau N, Mobley C. A
retrospective analysis of the clinical effectiveness of subcutaneously
tunneled femoral vein cannulations at the bedside: a low risk central
venous access approach in the neonatal intensive care unit. J Vasc
Access. 2020[citado em 2021 ago. 10]; 5:1129729820969291.
Disponível em: https://journals.sagepub.com/doi/10.1177/112
?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.
org&rfr_dat=cr_pub%20%200pubmed
Gorski LA, Hadaway L, Hagle ME, Broadhurst D, Clare S, Kleidon
T, et al. Infusion Therapy Standards of Practice. J Infus Nurs.
[citado em 2021 ago. 10];44(1S):1-230. Disponível em:
https://pubmed.ncbi.nlm.nih.gov/33394637/
Moureau N. Modified Seldinger Insertion technique for PICC
Insertion: the new wave for nurses. J Vasc Access. 2013[citado em
ago. 10];5(1):3-4. Disponível em: https://www.researchgate.
net/publication/257487368_Modified_Seldinger_Insertion_
technique_for_PICC_Insertion_The_New_Wave_for_Nurses
Mendes KDS, Silveira RCCP, Galvão CM. Revisão integrativa:
método de pesquisa para a incorporação de evidências na saúde
e na Enfermagem. Texto Contexto Enferm. 2008[citado em 2020
ago. 10];17(4):758-64. Disponível em: https://www.scielo.br/j/
tce/a/XzFkq6tjWs4wHNqNjKJLkXQ/?lang=pt&format=pdf
Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items
for Systematic reviews and meta-analyses: the PRISMA Statement.
PLoS Med. 2009[citado em 2020 ago. 10];6(7):e1000097. Disponível
em: https://journals.plos.org/plosmedicine/article?id=10.1371/journal.
pmed.1000097
Jameson J, Walsh E. Tools for evidence-based vascular nursing
practice: achieving information literacy for lifelong learning. J Vasc
Nurs. 2017[citado em 2020 ago. 10];35(4):201-10. Disponível em:
https://pubmed.ncbi.nlm.nih.gov/29153228/
Joanna Briggs Institute. JBI Levels of Evidence and Grades of
Recommendation Working Party October. 2013[citado em 2020
ago. 10]. Disponível em: http://joannabriggs.org/sites/default/
files/2019-05/JBI-Levels-of-evidence_2014_0.pdf
Pybus DA, Poole JL, Crawford MC. Subclavian venous catheterisation
in small children using the Seldinger technique. Anaesthesia.
[citado em 2021 jan. 12];37:451-53. Disponível em: https://
pubmed.ncbi.nlm.nih.gov/7081690/
Dasgupta N, Patel MN, Racadio JM, Johnson ND, Lungren MP.
Comparison of complications between pediatric peripherally
inserted central catheter placement techniques. Pediatr Radiol.
[citado em 2021 jan. 12];46(10):1439-43. Disponível em:
https://pubmed.ncbi.nlm.nih.gov/27126700/
Arnts IJJ, Schrijvers NM, van der Flier M, Groenewoud JMM, Antonius
T, Liem KD. Central line bloodstream infection can be reduced in
newborn infants using the modified Seldinger technique and care
bundles of preventative measures. Acta Paediatr. 2015[citado em 2021
jan. 12];104(4):152-7. Disponível em: https://pubmed.ncbi.nlm.nih.
gov/25545676/
Chattopadhyay A. Modification of Seldinger Technique for
Introduction of Femoral Lines in Newborns. Indian J Pediatr.
[citado em 2021 jan. 12];76(9):965. Disponível em: https://
pubmed.ncbi.nlm.nih.gov/19381491/
Cruzeiro PCF, Camargos PAM, Tatsuo ES, Piçarro C, Campos BA,
Paixão RM, et al. Percutaneous central venous catheterization
through the external jugular vein in children: is inserting the
guide wire into the superior vena cava essential for successful
catheterization? J Pediatr Surg. 2012[citado em 2021 jan.
;47(9):1742-7. Disponível em: https://www.jpedsurg.org/
article/S0022-3468(12)00363-6/abstract
Hüttel MS, Christensen P, Olesen AS. Subclavian venous
catheterization in children. Acta Anaesthesiol Scand. 1985[citado
em 2021 jan. 12]; 29(7):733-5. Disponível em: https://europepmc.
org/article/med/12797890
Venkataraman ST, Orr RA, Thompson AE. Percutaneous infraclavicular
subclavian vein catheterization in critically ill infants and children.
J Pediatr. 1988[citado em 2021 jan. 12];113(3):480-5. Disponível
em: https://pubmed.ncbi.nlm.nih.gov/3411392/
Mitto P, Barankay A, Späth P, Kunkel R, Richter JA. Central venous
catheterization in infants and children with congenital heart
diseases: experiences with 500 consecutive catheter placements.
Pediatr Cardiol. 1992[citado em 2021 jan. 12];13(1):14-9.
Disponível em: https://pubmed.ncbi.nlm.nih.gov/1736262/
Valk WJC, Liem KD, Geven WB. Seldinger technique as an
alternative approach for percutaneous insertion of hydrophilic
polyurethane central venous catheters in newborns. JPEN J
Parenter Enteral Nutr. 1995[citado em 2021 jan. 12];19(2):151-
Disponível em: https://pubmed.ncbi.nlm.nih.gov/7609281/
Orayen CG, Martínez P, Cano RR, Romero MCC, García V, Gutiérrez
MA. Accesos venosos centrales por técnica de Seldinger en
neonatologia. Cir Pediatr. 1992[citado em 2021 jan. 12];12(4):165-
Disponível em: https://www.secipe.org/coldata/upload/
revista/1999;12.165-7.pdf
Wardle S, Kelsall A, Yoxall C, Subhedar N. Percutaneous femoral
arterial and venous catheterization during neonatal intensive
care. Arch Dis Child Fetal Neonatal Ed. 2001[citado em 2021
jan. 12]; 85 (2): 119-22. Disponível em: https://www.ncbi.nlm.
nih.gov/pmc/articles/PMC1721299/
Doellman D. Evolution of a Pediatric PICC Program: a retrospective
report of establishing a pediatric PICC program. J Assoc Vasc
Access. 2003[citado em 2021 jan. 12];8(4):22-5. Disponível em:
https://meridian.allenpress.com/java/article/8/4/22/433405/
Evolution-of-a-Pediatric-PICC-Program-A
Cruzeiro PCF, Camargos PAM, Miranda ME. Central venous catheter
placement in children: a prospective study of complications in a
Brazilian public hospital. Pediatr Surg Int. 2006[citado em 2021
jan. 12];22(6):536-40. Disponível em: https://pubmed.ncbi.nlm.
nih.gov/16736225/
Bueno TM, Diz AI, Cervera PQ, Pérez-Rodrigues J, Quero J.
Peripheral insertion of double-lumen central Venous catheter using
the Seldinger technique in newborns. J Perinatol. 2008[citado em
jan. 12]; 28(4):282-6. Disponível em: https://pubmed.ncbi.
nlm.nih.gov/18200023/
Wald M, Happel CM, Kirchner L, Jeitler V, Sasse M, Wessel A. A
new modified Seldinger technique for 2- and 3-french peripherally
inserted central venous catheters. Eur J Pediatr. 2008[citado em
jan. 12];167:1327-9. Disponível em: https://pubmed.ncbi.
nlm.nih.gov/18175147/
Dheer G, Chaudhry GK, Singh T. Immediate complications of
percutaneous central venous cannulation in children. J Indian
Assoc Pediatr Surg. 2011[citado em 2021 jan. 12];16(4):145-7.
Disponível em: https://pubmed.ncbi.nlm.nih.gov/22121313/
Sharpe E, Pettit E. A National Survey of Neonatal Peripherally
Inserted Central Catheter (PICC) Practices. Adv Neonatal Care.
[citado em 2021 jan. 12];13(1):55-74. Disponível em:
https://pubmed.ncbi.nlm.nih.gov/23360860/
Athikarisamy SE, Veldman A, Malhotra A, Wong F. Using a modified
Seldinger technique is an effective way of placing femoral venous
catheters in critically ill infants. Acta Paediatr. 2015[citado em 2021
jan. 12];104(6):241-6. Disponível em: https://pubmed.ncbi.nlm.
nih.gov/25684105/
Huggill K, Van Rens M. Inserting central lines via the peripheral
circulation in neonates. Br J Nurs. 2020[citado em 2021 jan.
;29(10):S12-S18. Disponível em: https://pubmed.ncbi.nlm.
nih.gov/33104432/
Lausten-Thomsen U, Merchaoui Z, Dubois C, Trolli SED, Le
Saché NL, Mokhtari M. et al. Ultrasound-Guided Subclavian Vein
Cannulation in Low Birth Weight Neonates. Pediatr Crit Care Med.
[citado em 2021 jan. 12];18(2):172-5. Disponível em: https://
pubmed.ncbi.nlm.nih.gov/28157793/
Wyckoff M, Sharpe E. Peripherally Inserted Central Catheters:
guideline for practice. Chicago: National Association of Neonatal
Nurses; 2015.
Girgenti C, Donnellan E, Smith T. A vascular access team’s journey
to central venous catheter and arterial line placement. J Assoc Vasc
Access. 2015[citado em 2021 jan 12];20(2):69-74. Disponível em:
https://www.researchgate.net/publication/277928481_A_Vascular_
Access_Team’s_Journey_to_Central_Venous_Catheter_and_Arterial_
Line_Placement
Pires ABM, Lima AFC. Direct cost of peripheral catheterization
by nurses. Rev Bras Enferm. 2019[citado em 2021 jan
;72(1):88-94. Disponível em: https://www.scielo.br/j/reben/a/
nmRWrDGk5MxXQpZ6JPwjTQt/?format=pdf&lang=en
Pettit J. Technological Advances for PICC Placement and Management.
Adv Neonatal Care. 2007[citado em 2021 jan 12];7(3):122-31.
Disponível em: https://pubmed.ncbi.nlm.nih.gov/17844776/