ABSTRACT
Objective: From my experience as a member of the editorial board of the journal Investigación y Educación en Enfermería, the implications and scope of participating in this entity and the mutual and reciprocal benefits of this academic interaction between members of the editorial board and the journal are explained. Content synthesis: The key elements on operation, integration, tasks, and responsibilities of editorial boards to disseminate scientific research in different disciplines are analyzed and described, highlighting the rigor and commitment to academic ethics that allows guaranteeing the credibility of the contents published and topics addressed by a journal within a context of high competitiveness and risk of breaches of academic and scientific probity and ethics. Conclusion: Integrating an editorial board requires developing a fundamental role that implies a series of commitments and challenges that must be addressed with professionalism and ethics to guarantee the quality and prestige of the academic publication. In this task, achievements and goals are reached for the journal, as well as academic benefits for the editorial board members.
Subject(s)
Communication , HumansABSTRACT
Objective: Within the context of evidence-based practice, this article exposes the reflection on the understanding and usefulness of the information provided by the research findings shared in reports and research publications, exposing differences based on the interpretation of statistical significance and clinical significance. Content synthesis: Basic aspects of the meaning and use of the information reported by research on p value (statistical significance) and the value and usefulness of these results are analyzed and exemplified, contrasting the value for the practice of an additional judgment on clinical significance. In addition to establishing conceptual differences, the need is highlighted for nurses to have the competencies to differentiate and apply each of them according to the clinical contexts of their potential implementation. Conclusion: The real usefulness of research about interventions within the context of nursing care is given by its real application and reach for the practice and benefit for patients. For this to occur, nurses must interpret adequately the information provided by scientific publications and other research reports.
Subject(s)
Clinical Relevance , Nursing Research , HumansABSTRACT
Objective. Within the context of evidence-based practice, this article exposes the reflection on the understanding and usefulness of the information provided by the research findings shared in reports and research publications, exposing differences based on the interpretation of statistical significance and clinical significance. Content synthesis. Basic aspects of the meaning and use of the information reported by research on p value (statistical significance) and the value and usefulness of these results are analyzed and exemplified, contrasting the value for the practice of an additional judgment on clinical significance. In addition to establishing conceptual differences, the need is highlighted for nurses to have the competencies to differentiate and apply each of them according to the clinical contexts of their potential implementation. Conclusion. The real usefulness of research about interventions within the context of nursing care is given by its real application and reach for the practice and benefit for patients. For this to occur, nurses must interpret adequately the information provided by scientific publications and other research reports.
Objetivo. En el contexto de una práctica basada en evidencia, este artículo expone la reflexión sobre la comprensión y utilidad de la información que proveen los hallazgos de investigación reportados en informes y publicaciones de investigación, exponiendo las diferencias a partir de la interpretación de la significancia estadística y significancia clínica. Síntesis del contenido. Se analizan y ejemplifican aspectos básicos sobre el significado y uso de la información que reportan las investigaciones sobre valor p (significancia estadística) y el valor y utilidad de estos resultados contrastando el valor para la práctica de un juicio adicional sobre significancia clínica. Además de establecer diferencias conceptuales, se resalta la necesidad de que las enfermeras tengan las competencias para diferenciar y aplicar cada uno de ellos según los contextos clínicos de su potencial implementación. Conclusión. La real utilidad de la investigación sobre intervenciones en el contexto del cuidado de enfermería está dada por su real aplicación y alcance para la práctica y el beneficio para los pacientes. Para que ello ocurra, las enfermeras deben interpretar adecuadamente la información que proveen las publicaciones científicas y otros reportes de investigación.
Objetivo. No contexto de uma prática baseada em evidências, este artigo apresenta a reflexão sobre a compreensão e utilidade da informação fornecida pelos resultados da investigação relatados em relatórios de investigação e publicações, expondo as diferenças com base na interpretação da significância estatística e da significância clínica. Síntese de conteúdo. Aspectos básicos sobre o significado e uso das informações relatadas pelas pesquisas sobre valor p (significância estatística) e o valor e utilidade desses resultados são analisados e exemplificados, contrastando o valor para a prática de um julgamento adicional sobre significância clínica. Além de estabelecer diferenças conceituais, destaca-se a necessidade de o enfermeiro ter competências para diferenciar e aplicar cada uma delas de acordo com os contextos clínicos de seu potencial implementação. Conclusão. A real utilidade da investigação sobre intervenções no contexto dos cuidados de enfermagem é dada pela sua real aplicação e âmbito de prática e benefício para os pacientes. Para que isso ocorra, os enfermeiros devem interpretar adequadamente as informações fornecidas pelas publicações científicas e outros relatórios de pesquisa.
Subject(s)
Humans , Male , Female , Nursing Research , Data Interpretation, Statistical , Evidence-Based Practice , Clinical Relevance , Nursing, PracticalABSTRACT
Objective. From my experience as a member of the editorial board of the journal Investigación y Educación en Enfermería, the implications and scope of participating in this entity and the mutual and reciprocal benefits of this academic interaction between members of the editorial board and the journal are explained. Content synthesis.The key elements on operation, integration, tasks, and responsibilities of editorial boards to disseminate scientific research in different disciplines are analyzed and described, highlighting the rigor and commitment to academic ethics that allows guaranteeing the credibility of the contents published and topics addressed by a journal within a context of high competitiveness and risk of breaches of academic and scientific probity and ethics. Conclusion. Integrating an editorial board requires developing a fundamental role that implies a series of commitments and challenges that must be addressed with professionalism and ethics to guarantee the quality and prestige of the academic publication. In this task, achievements and goals are reached for the journal, as well as academic benefits for the editorial board members.
Objetivo. A partir de mi experiencia como integrante del comité editorial de la revista Investigación y Educación en Enfermería, se exponen las implicancias y el alcance de participar en esta entidad y los beneficios mutuos y recíprocos de esta interacción académica entre los miembros del comité editorial y la revista. Síntesis del contenido. Se analizan y describen los elementos claves sobre funcionamiento, integración, tareas y responsabilidades de los comités editoriales para la difusión de investigaciones científicas en las distintas disciplinas, resaltando el rigor y compromiso con la ética académica que permite garantizar la credibilidad de los contenidos publicados y las temáticas abordadas por una revista en un contexto de alta competitividad y de riesgo de faltas a la probidad y ética académica y científica. Conclusión. Integrar un comité editorial exige desarrollar un papel fundamental que implica una serie de compromisos y desafíos que deben abordarse con profesionalismo y ética para garantizar la calidad y el prestigio de la publicación académica. En esta tarea se alcanzan logros y metas tanto para la revista, así como se obtienen beneficios académicos para los integrantes del comité editorial.
Objetivo. Com base na minha experiência como membro do conselho editorial da RevistaInvestigación y Educación en Enfermería, são apresentados as implicações e o alcance da participação nesta entidade e os benefícios mútuos e recíprocos desta interação acadêmica entre os membros do conselho editorial e a revista. Síntese de conteúdo. São analisados e descritos os elementos-chave sobre o funcionamento, integração, tarefas e responsabilidades dos comités editoriais para a divulgação da investigação científica nas diferentes disciplinas, destacando o rigor e o compromisso com a ética académica que permite garantir a credibilidade dos conteúdos publicados e os temas abordados por uma revista em um contexto de alta competitividade e de risco de violação da probidade e da ética acadêmica e científica. Conclusão. Integrar um comitê editorial exige desenvolver um papel fundamental que envolve uma série de compromissos e desafios que devem ser enfrentados com profissionalismo e ética para garantir a qualidade e o prestígio da publicação acadêmica. Nessa tarefa são alcançadas conquistas e metas para a revista, bem como benefícios acadêmicos para os membros do comitê editorial.
Subject(s)
Humans , Periodicals as Topic , Editorial Policies , Scientific and Technical Publications , Scholarly CommunicationABSTRACT
Every day, nurses face dilemmas in clinical practice by having to make decisions about caring for patients, which can occur without up-to-date knowledge or sufficient resources. In previous reflections, I have exposed and commented on the need to move from research, particularly from research findings, to the practice in the different contexts of nursing work and of health sciences in general, exposing the gap that still remains between the generation of knowledge and its application in daily practice.(1,2) This gap, although in differential magnitude, is still present in the different scenarios in which nursing takes place, that is, in healthcare practice (hospital, outpatient, and community), as well as in teaching.
Subject(s)
Nursing Research , Evidence-Based Practice , Nursing, Practical , Journal ArticleABSTRACT
To the date of publication of this editorial, we have gone through over 20 months of facing the complex and challenging SARS-CoV-2 pandemic since the first case was reported in late 2019. The consequences globally have been significant not only due to the unprecedented morbidity and mortality throughout the world, but also as effect of the drastic changes taking place in the usual dynamics in the individual, family, and collective settings, given the overall interruption of habitual functions and operations in the distinct contexts of daily life, sustaining only those activities considered essential.
A la fecha de publicación de este editorial ya hemos transitado más de 20 meses enfrentando la compleja y desafiante pandemia por SARS-CoV-2 desde que se reportara el primer caso a finales de 2019. Las consecuencias en el mundo han sido significativas no solo por la morbilidad y mortalidad sin precedentes sino, además, como efecto de los drásticos cambios ocurridos en las dinámicas usuales en lo individual, familiar y colectivo dada la interrupción generalizada de las funciones y operaciones habituales en los distintos contextos de la vida cotidiana, por lo cual se mantuvieron solamente aquellas actividades consideradas esenciales.
Subject(s)
Humans , Mass Vaccination , Nursing , Nurse's Role , SARS-CoV-2 , COVID-19 , PandemicsABSTRACT
On 12 May 2020, the world commemorated the bicentennial of the birth of Florence Nightingale, and to date, multiple publications in press media, social networks, and journal articles have related her biography and accounted for her contribution and legacy, not only to nursing, but to public health. It is precisely within this context of health contingency due to the COVID-19 pandemic that the relevance of Nightingale gains greater sense on aspects as simple, but as necessary, like handwashing and measures of basic health.
Subject(s)
Humans , NursingABSTRACT
Climate change and global warming are phenomena that are progressively affecting the planet. Temperature changes bring about various threats in distinct sectors and environments of human society, among them, threats to health secondary to extreme temperatures and natural disasters. Thus, it is constituted as a global threat to biodiversity and the human population, given that it affects habitat conditions, as well as causes an increase in forest fires as consequence of increased temperatures and diminished precipitations. Forest fires have attracted attention not only because of their ecological and environmental consequences, but also in production and economic aspects and in relation with the health of people potentially exposed, given that these place populations at environmental risks, like fire, smoke, and others derived from the combustion of wood and chemical products that can be released.
Subject(s)
Humans , Public Health , Health Personnel , Wildfires , Pulmonary Disease, Chronic Obstructive , Professional Role , Air Pollutants , Disasters , Global WarmingABSTRACT
Los adolescentes constituyen la población más expuesta a contraer enfermedades de transmisión sexual, entre otros aspectos, porque muchos experimentan su primera relación sexual sin protección. El VIH/SIDA persiste como una enfermedad socialmente temida y causa de discriminación, evidenciándose déficit de conocimientos sobre formas de contagio, conduciendo a actitudes perjudiciales hacia quienes padecen este mal. El objetivo del estudio fue describir los conocimientos y actitudes de estudiantes de Enfermería de las universidades de La Frontera y Austral de Chile frente al VIH/SIDA. Se ejecutó una investigación cualitativa con enfoque antropológico cognitivo para estudiar los conocimientos y actitudes de estudiantes de tercer y cuarto año de Enfermería sobre el tema en foco. Como técnica de recolección de datos se empleó la entrevista semiestructurada, analizándose la información mediante distribución de frecuencias y análisis de discursos. Se identificaron ocho dimensiones: qué es el VIH/SIDA, formas de contagio, ¿con qué se relaciona el VIH/SIDA?, prácticas de alto riesgo, medidas de prevención, ¿quiénes están expuestos al contagio?, causas de negación al examen, y propuestas de prevención. El análisis cualitativo, evidenció déficit de formación de los estudiantes respecto del manejo de pacientes y en las medidas de prevención en población de riesgo. Enfatizan la necesidad de medidas de promoción y prevención de la enfermedad. En ambos grupos se observó una tendencia biologicista en: transmisión sexual, formas de contagio, con qué se relaciona el SIDA y prácticas de alto riesgo. En medidas de prevención, se observó limitada ponderación para educación sexual y altos valores en uso del preservativo.
Adolescents make up the most exposed population to acquiring sexually transmitted diseases, among other aspects, because many experience their first sexual relation without protection. HIV/AIDS persists as a socially feared disease and cause of discrimination, showing a lack of knowledge on the forms of infection, generating detrimental attitudes towards those who suffer from the disease. The aim of the study was to describe the knowledge and attitudes of nursing students from the Universidad de la Frontera and the Universidad Austral de Chile, in relation to HIV/AIDS. Qualitative research with anthropologic cognitive approach was executed, to study the knowledge and attitudes of nursing students of third and fourth year about the topic in focus. For data collection, the semi structured interview was used, analyzing the information by frequency distribution, and discourse analysis. Eight dimensions were identified: What is HIV/AIDS?; Ways of infection; What is related to the HIV/AIDS?; High risk practices; Prevention methods; Who are exposed to infection?; Causes of refusal of HIV/AIDS tests; and Proposal of prevention. The qualitative analysis, showed an educational deficit about the care of patients and prevention measures to the risk population. The students emphasize the need of promotion and prevention measures for the disease. In both groups, a biologicist trend was observed in: Sexual transmission, Ways of infection, What is related to the HIV/AIDS? and high risk practices. In prevention methods, a limited percentage was given to sexual education and the highest to the use of condoms.
Subject(s)
Humans , Acquired Immunodeficiency Syndrome , Health Knowledge, Attitudes, Practice , HIV , Students, Nursing , Chile , Sexually Transmitted Diseases/prevention & control , Sexually Transmitted Diseases/psychology , Sex EducationABSTRACT
Background: Acute respiratory infections (ARI) are trie most frequent cause of medical consultation in primary care, emergency room, as well as, for pediatric hospitalization. Objective: To characterize trie morbidity by ARI until trie third month of life and to evalúate its risk factors. Methods: Cohort study in full-term newborns (n = 316) admitted with their mothers at trie Maternity of trie Hospital Clinico Regional of Valdivia. During 3 months of follow-up, medical consultations by ARI were identified, and overall and specific incidence for ARI was estimated. Maternal, neonatal, socioeconomic and environmental factors were evaluated as associated factors with lower respiratory tract infections (LRTI), using stepwise logistic regression. Results: The overall incidence rate of ARI was 20.4 episodes per 100 child-months, while LRTI reached 6.2 episodes per 100 child-months. Incidence rate of common cold, wheezing bronchitis and pneumonia was 11.6, 4.4 and 0.85 per 100 child-months, respectively. Risk factors for LRTI were: unmarried single mother [OR=2.6; Cl95 percent 1.22-5.60], indoor tobacco smoke [OR=2.9; CI95o/o 1.34-6.33], use of wood as exclusive fuel [OR=4.0; CI95 percent 1.66-9.79] and season (March-July) [OR=7.6; CI95 percent 3.25-18.0]. Conclusions: ARI persists as main cause of ambulatory medical consultation in smaller babies, and environmental factors acquire fundamental importance for prevention in its oceurrence.
Introducción: Las infecciones respiratorias agudas (IRA) constituyen el principal motivo de consultas en centros primarios y de urgencia, así como de hospitalización pediátrica. Objetivos: Caracterizar la morbilidad por IRA hasta el tercer mes de vida y evaluar sus factores de riesgo. Métodos: Cohorte de recién nacidos de término ingresados con sus madres en la Maternidad del Hospital Clínico Regional de Valdivia (n=316). Durante 3 meses de seguimiento se estableció la morbilidad por IRA y estimó la tasa de incidencia global y específica. La asociación entre IRA y factores maternos-neonatales, socioeconómicos y ambientales se evaluó mediante regresión logística stepwise. Resultados: La incidencia de IRA global e IRA baja (IRAB) fue 20,4 y 6,2 episodios por cien meses-niño, respectivamente. La tasas por diagnósticos fueron: resfrío 11,6, síndrome bronquial obstructivo 4,4 y neumonía 0,85 episodios por cien meses-niño. Los factores de riesgo para IRAB fueron: ser hijo de madre soltera (sin pareja) [OR=2,6; Cl95 por ciento 1,22-5,60], tabaquismo intradomiciliario [OR=2,9; Cl95 por cientol,34-6,33], uso exclusivo de leña como combustible [OR=4,0; Cl95 por ciento 1,66-9,79] y estacionalidad (Marzo-Julio) [OR=7,6; Cl95 por ciento 3,25-18,0]. Conclusiones: Las IRA persisten como principal motivo de consulta ambulatoria en lactantes pequeños, en quienes los factores ambientales adquieren vital importancia para su prevención.
Subject(s)
Humans , Infant, Newborn , Infant , Respiratory Tract Infections/epidemiology , Acute Disease , Bronchitis/epidemiology , Cohort Studies , Chile/epidemiology , Incidence , Logistic Models , Pneumonia/epidemiology , Prospective Studies , Risk Factors , Common Cold/epidemiology , Socioeconomic Factors , Tobacco Smoke PollutionABSTRACT
Objective: Characterize mortality and associated factors in Chilean prematures born < 32 weeks of gestational age (GA) and treated with exogenous surfactant. Method: Cohort of newborns (n = 2 868) registered between 1998-2005 in the database of the Surfactant National Program. The association of gestational and neonatal variables with mortality was estimated through survival analysis and logistic regression. Results: Global mortality was 35 percent, varying by GA from 86.7 percent (< 25 weeks) to 12.6 percent (32 weeks). There was a clear decrease of mortality during the study period, along with a fall in the gestational age and birth weight (BW) of the patients who died (1 021 g +/- 295 to 854 g +/- 258) and GA (27.7 +/- 2.1 to 26.5 +/- 23) during this period. Pulmonary hemorrhage (PH) was the most important factor associated to mortality, so we decided to stratify the analysis by this condition. In children with PH, the mortality estimated risk lower as the GA increased (OR= 0.73; CI95 0.57-0.93) and every 100 g of additional BW (OR= 0.74; CI95 0.63-0.88). Children not affected by PH also had their OR diminished with major GA (OR= 0.82; CI95 0.76-0.90) and more BW (OR= 0.84; CI95 0.79 - 0.89). In addition, the OR decreased with better Apgar 5 min score (OR= 0.80; CI95 0.75-0.85), use of prenatal corticoids (OR= 0.71; CI95 0.56-0.90) and was higher in boys (OR= 1.36; CI95 1.08-1.71). Conclusions: Mortality in premature newborns decreased 15 percent during this period. Inmaturity and extreme low birth weight factors constitute a challenge to improve survival and avoid further complications like PH.
Objetivo: Caracterizar la mortalidad y factores asociados en prematuros chilenos < 32 semanas de edad gestacional (EG) receptores de surfactante exógeno. Pacientes y Métodos: Cohorte de neonatos 1998-2005 (n = 2 868) de la base de datos del Programa Nacional de Surfactante. Se estimó la mortalidad y su relación con variables maternas, del embarazo y neonatales mediante análisis de sobrevida y regresión logística. Resultados: La mortalidad global fue 35 por ciento, variando por EG entre 86,7 por ciento (< 25 semanas) y 12,6 por ciento (32 semanas). La mortalidad descendió en el período, reduciéndose también el peso de nacimiento (PN) de los fallecidos (1 02 lg +/- 295 a 854 g +/- 258) y su EG (27,7 +/- 2,1 a 26,5 +/- 2,3). La hemorragia pulmonar (HP) fue el factor más importante asociado a mortalidad, por lo que se estratificó el análisis por esa condición. En niños con HP, cada semana adicional de EG disminuye el riesgo de morir (OR: 0,73; IC95 0,57-0,93), así como por cada 100 g de peso adicional (OR: 0,74; IC95 0,63-0,88). Sin HP, el riesgo disminuye con mayor EG (OR: 0,82; IC95 0,76-0,90), mayor PN (OR: 0,84; IC95 0,79-0,89), mejor puntuación Apgar 5 minutos (OR: 0,80; IC95 0,75-0,85) y uso de corticoide prenatal (OR: 0,71; IC95 0,56-0,90), siendo significativamente mayor en varones (OR: 1,36; IC(95)1,08-1,71). Conclusiones: En el período, la mortalidad en prematuros disminuyó en 15 por ciento. La inmadurez y extremo bajo peso de niños actualmente viables, plantean importantes desafíos para mejorar su sobrevida y evitar complicaciones, entre ellas, la HP.
Subject(s)
Humans , Infant, Newborn , Lung Diseases/mortality , Lung Diseases/drug therapy , Infant, Premature , Pulmonary Surfactants/therapeutic use , Chile/epidemiology , Hemorrhage/mortality , Incidence , Infant Mortality , Respiratory Insufficiency/epidemiology , Respiratory Insufficiency/drug therapy , Logistic Models , National Health Programs , Risk Factors , Survival AnalysisABSTRACT
La situación nutricional ha evolucionado en forma diferente en los países del continente. El objetivo del estudio fue analizar los cambios del estado nutricional y algunos de sus condicionantes en América Latina en estos últimos años. Se realizó una búsqueda electrónica y manual de artículos publicados entre 1995 y 2005, seleccionándose los que abordaron la situación alimentario nutricional de países latinoamericanos. Adicionalmente, se obtuvieron datos de encuestas nacionales y reportes internacionales incluyendo fundamentalmente información a partir de 1990. Los países han evolucionado hacia diferentes estadios de transición, observándose un incremento de exceso de peso, particularmente en mujeres adultas, en que se supera el 30% y en algunos países llega al 70%. Igualmente preocupante es la situación infantil, donde cinco países superan el 6% de obesidad. Hay una tendencia a disminuir el déficit de peso, siete de nueve países presentaron una reducción de mujeres con bajo peso y el déficit de crecimiento disminuyó generalizadamente. Se observó un aumento de la disponibilidad calórica en 17 de 20 países. La población que vive bajo la línea de pobreza ha disminuido en 9 de 13 países, aunque hay algunos que superan el 60%. Los indicadores de sedentarismo han aumentado, el parque automotriz ha subido en todos los países y algo similar ocurre con televisores y computadores. La evolución del estado nutricional refleja una acción multifactorial donde destacan: aumento de la ingesta calórica, incremento de actividades sedentarias en un entorno más urbanizado promotor de tecnologías que limitan la actividad física y disminución de la inseguridad alimentaria producto del descenso de la pobreza aunque desigualdades sociales persisten.
The nutrition situation has evolved in different ways in Latin-American countries. The aim of the study was to analyze the nutritional change and some conditions within Latin America in the last years. An electronic and manual search of articles published between 1995 and 2005 was made, selecting those that included the nutritional situation of Latin American countries. Additionally, data was collected from national surveys and international reports including information since 1990. The countries have evolved through different transition stages. For example, an increase of excess of weight, particularly in adult women, which exceeded 30% in some countries also reached up to 70% in others. Equally worrisome was the over 6% obesity level in children in five of the countries surveyed. There is a tendency to diminish the deficit of weight with seven of nine countries displaying a reduction of women with low weight while stunting diminished globally. An increase of the caloric availability in 17 of 20 countries was also observed. The total population that lives under the poverty line has diminished in 9 of 13 countries although some exceeded 60%. Some indicators of sedentary lifestyle have increased, the number of cars has been increasing in all countries and similar figures are recorded with respect to television and personnel computers. The evolution of the nutritional status is reflected through the action of set factors, the most important of which being the increase in caloric ingestion and sedentary activities in an urbanized environment, the promotion of the use of technologies that limit physical activity. There is also a reduction in food insecurity due to a fall in poverty levels although social inequalities still persist.
Subject(s)
Humans , Female , Infant, Newborn , Infant , Child, Preschool , Child , Adult , Growth Disorders/epidemiology , Health Transition , Nutrition Policy , Nutritional Status , Obesity/epidemiology , Latin America/epidemiology , Nutritional Requirements , Prevalence , Risk Factors , Socioeconomic FactorsABSTRACT
En el contexto de un hospital público y con el objetivo de comparar la facilidad de venopunción, tipo e incidencia de complicaciones de dos métodos de cateterización venosa periférica usados en cuidado intensivo neonatal, se realizó un estudio prospectivo no controlado. 828 dispositivos fueron instalados en 75 neonatos, empleándose 595 cánulas de Vialon® y 233 agujas de acero tipo mariposa. Hubo diferencia estadísticamente significativa a favor del catéter de Vialon® en la permanencia promedio. En dispositivos instalados en menores de 1.500g se evidenció significativa mayor duración de las cánulas Insyte® y menor tiempo de instalación y menor cantidad de intentos de venopunción de las agujas tipo mariposa. El principal motivo de retiro para ambas alternativas fue la extravasación en casi 75 por ciento. No hubo diferencias en la incidencia de flebitis pero sí en la incidencia de necrosis tisular en las cánulas tipo mariposa (RR:17,8; IC95 2,2 _ 144,5). El uso de cánulas de Vialon® es más recomendable incluso cuando se prolongan por más de 72 horas.
In the context of a public hospital, a prospective study was conducted to compare two methods of peripheral venous catheterization used in neonatal intensive care units. Type and incidence of complications and venipunction practices were analyzed. 828 catheters were used in 75 neonates (595 Vialon® and 233 Butterfly steel needle). The mean life span of Vialon® was longer than Butterfly. In neonates less than 1500g, Insyte® remained functional longer than Butterfly, but this required less time and attempts to be installed. The main reason to removal both types of catheters were extravasations (75 percent). There were no differences in phlebitis incidence but tissue necrosis incidence was higher in Butterfly (RR: 17,8; IC95 2,2 _ 144,5). We recommend the use of Vialon®, even though the utilization time is longer than 72 hours.