Cateteres umbilicais em recém-nascidos: indicações, complicações e diagnóstico por imagem

Autores

  • Ricardo Yoshio Zanetti Kido Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.
  • Beatriz Regina Alvares Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.
  • Maria Aparecida Marques dos Santos Mezzacappa Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

DOI:

https://doi.org/10.15448/1980-6108.2015.1.19236

Palavras-chave:

Cateteres, Radiografia, Ultrassonografia, Recém-nascido, Cuidados intensivos.

Resumo

Objetivos: Revisar os últimos dados de literatura acerca do cateterismo umbilical quanto a indicações, complicações e diagnóstico de sua localização através de exames de imagem.

Métodos: Foram pesquisados artigos nas bases de dados PubMed, SciELO e LILACS, através dos seguintes descritores, assim como dos termos correspondentes em inglês: cateteres umbilicais; exame radiológico; ultrassonografia; recém-nascido; e cuidados intensivos neonatais. Foram incluídos também livros texto clássicos em literatura neonatal.

Resultados: Foram selecionados 51 artigos, quatro livros texto e um manual  versando sobre cateteres umbilicais venosos e arteriais em recém-nascidos. Revisamos indicações, novas técnicas de inserção, complicações associadas, fatores de risco e diagnóstico por imagem, com ênfase nas referências anatômicas utilizadas para o diagnóstico da posição da extremidade do cateter.

Conclusões: O cateterismo umbilical representa um importante acesso à corrente sanguínea do recém-nascido e o diagnóstico por imagem desempenha um papel fundamental na avaliação correta do seu posicionamento, possibilitando, em caso de mau posicionamento, a conduta imediata para prevenção de complicações.

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Biografia do Autor

Ricardo Yoshio Zanetti Kido, Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

Médico Residente do Departamento de Radiologia da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

Beatriz Regina Alvares, Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

Professora Doutora do Departamento de Radiologia da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

Maria Aparecida Marques dos Santos Mezzacappa, Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

Professora Doutora do Departamento de Pediatria da Faculdade de Ciências Médicas da Universidade Estadual de Campinas (FCM-Unicamp), Campinas, SP, Brasil.

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Publicado

2015-04-28

Como Citar

Kido, R. Y. Z., Alvares, B. R., & Mezzacappa, M. A. M. dos S. (2015). Cateteres umbilicais em recém-nascidos: indicações, complicações e diagnóstico por imagem. Scientia Medica, 25(1), ID19236. https://doi.org/10.15448/1980-6108.2015.1.19236

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