Biasucci D

Celentano D

Genovese O

Mancino A

Muscheri L

Pittiruti M

English

387 – POSTER SESSIONURINARY INCONTINENCE, LOWER URINARY TRACTSYMPTOM AND QUALITY OF LIFE IN CHILDREN ANDTHEIR PARENTS. A REVIEW OF LITERATUREF. Petrangeli1, F. Suriano2, T. Brancato2, M.L. Capitanucci3,M. De Gennaro3, R. Alvaro11School of Nursing, University Tor Vergata, Rome, 2Department ofUrology, Regina Apostolorum Hospital, Albano Laziale,3Urodynamic Division, Bambino Gesù Children’s Hospital, IRCCS,Rome, ItalyBackground and aims: Urinary incontinence (UI) and Lower Uri-nary Tract Symptoms (LUTS) are common conditions in children andthis often can have a marked impact on daily activities and quality oflife (QoL). The aims of this review is to summarize the literature onQoL of children with UI and LUTS and their parents, and to identifyfactors that decrease QoL in affected children.Methods: The CINAHL, PubMed, and ISI Web of Knowledge,Proquest were searched for publication until December 2012, toidentify the QOL perception’s in children, adolescents and theirparents, using combination of different keywords.Results: The literature data suggest that both patients and theirfamilies suffer of this conditions. Worse a child’s symptoms are thegreater the impact on the child and family. Self-esteem and mentalhealth were the two most affected domains in children with UI. Andenuresis profoundly affects child’s and parent’s life socially, emo-tionally, and behaviorally.Conclusions: UI and LUTS significantly impair the quality of life inboth children and teenager, and also have the negative effects on theparent’s life. Early correct recognition of symptoms and treatmentmay improve health related quality of life in this population.388 – POSTER SESSIONPOWER INJECTABLE PICCS IN PEDIATRIC INTENSIVECARE UNIT: A RETROSPECTIVE STUDYM. Pittiruti1, D. Celentano2, D.G. Biasucci3, A. Mancino3,O. Genovese3, L. Muscheri21Department of Surgery, 2Pediatric Intensive Care Unit, 3EmergencyDepartment Pediatric Intensive Care Unit, ‘A. Gemelli’ TeachingHospital Catholic University of The Sacred Heart, Milan, ItalyBackground: Peripherally inserted central catheters (PICC) havemany advantages in pediatric intensive care unit (PICU), particularlyin children with coagulation abnormalities or at high risk for infec-tion. Some disadvantages of standard PICCs (low flow rates; poorresistance to trauma and to high pressure infusion) have been over-come by power injectable polyurethane PICCs (PI-PICC).Method: We have reviewed our experience with PI-PICC, withspecial regard to early and late complications. All PI-PICC werepositioned in the deep veins of the arm by ultrasound guidance; tipposition was verified by the intra-cavitary EKG method.Results: In 18 months, we inserted 50 open-ended PI-PICC (thirty-seven 5Fr double lumen + three 4Fr double lumen + nine 4Fr singlelumen + one 3Fr single lumen). All insertions were successful, withminimal complications (two local hematomas; two cases of repeatedpuncture before success; one malposition, in a patient with difficultreading of the EKG due to artefacts). We reported no catheter-relatedbacteremia, no symptomatic venous thrombosis, and no accidentalremoval of the PICC. Lumen occlusions occurred rarely, and theywere all overcome by simple flushing. All PI-PICCs had a goodclinical performance (high flow infusion; easy monitoring of centralvenous pressure; contrast medium infusion for CT scan).Conclusion: In PICU, PI-PICC are an ideal double/single lumencentral line for any type of infusion, for hemodynamic monitoring andfor high pressure injection of contrast medium. PI-PICC positioningby ultrasound guidance and EKG-guidance is 100 % successful andcompletely safe even in severely ill children.389 – POSTER SESSIONNEWBORNS WEIGHT LOSS IN ROOMING-IN CAREI.N. Vale1, L.S. Alves1, T.E. Casale1, L. Supimpa1, G.M. Takeiti2,E.V. Carmona11Nursing, 2Women’s Hospital Professor Dr. José Aristodemo Pinotti,State University of Campinas, Campinas, BrazilSignificant newborn’s weight loss may lead caregiver for offeringother milk to complement feeding, plus breast milk, as intervention. Ifnurses identify predictors of weight loss, they can perform earlyinterventions to prevent this.Objective: to evaluate factors related to weight loss of healthynewborns at a public teaching hospital, in Brazil.Methods: A cross-sectional study, with 455 mothers and their babies,at Rooming-in care. Descriptive analysis was performed, with theintersection of variables of interest, using Chi square and Fisher’sExact Test (significance level 5 %).Results: Newborns with birth weight loss over 10 and 8 % were6.4 and 26.2 %, respectively. Majority of women were adult,multiparous, with partner, studied up to high school and pre-sented at least one comorbidity related to lactogenesis II failure.Prevalence of induced labor and cesarean section was 43.7 %.Have reported milk letdown within 48 h, 15.6 % of women;47 % have had nipple trauma and 11 % used some device (sili-cone nipple or shell). The middle-weight of the neonates was3,237 g (min. 2,151–4,520 g max); 37.4 % suffered some kind oftocotraumatism; 30 % were kept in skin-to-skin contact withmother and 15.1 % presented poor sucking. Variables with pos-sible association with greater weight loss: number of deliveries(p \ 0.003), type of delivery (p \ 0.000), use of devices(p \ 0.029), birth trauma (p \ 0.018) and small for gestationalage newborns (p \ 0.06).Conclusions: Weight loss greater than expected may be related ofdelivery health care aspects, as well as maternal and newborncharacteristics.390 – POSTER SESSIONSKIN CONDUCTANCE MONITORING IN THE CARE OF(PRETERM) NEWBORNS; A STUDY OF THE LITERATUREJ. WielengaIC Neonatology, Emma Children’s Hospital, Academic MedicalCentre, Amsterdam, The NetherlandsS132 Intensive Care Med (2013) 39 (Suppl 1):S1–S200123

POWER INJECTABLE PICCS IN PEDIATRIC INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY

https://art.torvergata.it/bitstream/2108/315205/1/Abstact%20Power%20Injectable%20PICC%20in%20PICU.pdf

POWER INJECTABLE PICCS IN PEDIATRIC INTENSIVE CARE UNIT: A RETROSPECTIVE STUDY

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