This study aimed to characterize the analgesia and sedation strategies in neonates having a peripherally inserted central catheter (PICC) placed, and to relate it to the number of venepunctures, duration of procedure and catheter tip position. This was a cross-sectional study with prospective data collection, conducted in a neonatal intensive care unit of a private hospital in the city of São Paulo, which evaluated 254 PICC insertions.
The adoption of analgesic or sedative strategies occurred in 88 (34.6%) catheter placements and was not related to the number of venepunctures, duration of procedure or catheter tip position. Intravenous administration of midazolam, in 47 (18.5%), and fentanyl, in 19 (7.3%), catheter insertions were the most frequent strategies. Wider adoption of analgesic strategies is recommended before, during and after the procedure.
Authors : Priscila Costa, Mariana Bueno, Cintia Luiza Oliva, Talita Elci de Castro, Patrícia Ponce de Camargo, Amélia Fumiko Kimura