The team of nursing, and responsible for the assistance in integral period, has important performance in the Prevention and control of the risk of infection for this small farm, the microrganismos even go since an inflammatory picture not associate to the infection a septicemia picture, with comprometimento of the general state of the patient, causing until the death (13) According to QUESADA, et al, 2006, this demonstrates that beyond the concern with the relative customer to its prognostic, it must be observed that after an infection has an increase in the permanence of this patient in the unit of intensive therapy generating medication costs and invasive Monitorizao. Therefore the training of the nursing professionals who manipulate these catheters daily, and the existence of rigorous protocols of cares, has made possible the reduction in the risks of infectious complications (3). In accordance with Lebanese Hospital (2004) 6.
The occurrence of the complications is related the errors technician, being that most common they are the multiple puno attempt, the inadequate positioning of the patient and the accomplishment of puno in urgency situations, For this reason praised the use of techniques to seldinger as described to follow: Patient in decubitus dorsal horizontal line with lateral rotation of the head for the opposing side of the Paramentao procedure of the professional with cap masks surgical laudering of the hands with brush and rank of barren apron and gloves; Asepsis of the skin enclosing the extensive area and rank barren De Campos protecting the place of the puno. If necessary to sedar the patient, Infiltration of the skin and deep plan with lidocana 2% without vasoconstritor. With the needle of to the anesthesia, to try to locate the vein to be punched; Puno of the vein with needle 18G of 8,0 cm, length keeping? if negative pressure in the piston of the syringe. When it will have refluxo of blood, to detach the syringe from the needle, to introduce the wire guides with the extremity in ‘ ‘ J’ ‘ for the needle for approximately 20 cm they exist joint of catheters whose syringe makes use of central orifice for where if it can.