PROPOSTA DE PADRONIZAÇÃO DOS PROCEDIMENTOS DE (RE)FIXAÇÃO DO CATETER NASOENTERAL COM FITA ADESIVA EM UNIDADE DE TERAPIA INTENSIVA ADULTO

Abstract

Proper fixation of the nasoenteral catheter (NEC) in adult intensive care unit (ICU) patients is crucial to ensure the effectiveness of nutritional therapy and prevent complications such as nasal injuries, accidental displacement, and prolonged discomfort. Although adhesive tape is widely used in clinical practice, the absence of a specific Standard Operating Procedure (SOP) results in varied techniques and increases the risk of adverse events (AEs). This methodological study aimed to develop and validate an SOP for the safe and efficient (re)fixation of NEPs with adhesive tape in adult ICUs. Conducted between September and November 2024, it involved nurses with at least six months of experience in the ICU. Initially, a preliminary POP model was developed, followed by an analysis of the techniques used by professionals. Validation was based on Pasquali's criteria (objectivity, simplicity, clarity, precision, appearance, scientific writing, sequence, and content), using a Likert scale. Agreement among experts was achieved through the Delphi Technique, with a minimum Content Validity Index (CVI) of 0.80. In the first round, the diversity of fixation methods was evident. In the second round, after incorporating the suggestions, the SOP was validated, with an emphasis on improvements such as standardizing skin preparation, fixation techniques, and ensuring both aesthetic and functional adequacy. The implementation of this SOP aims to reduce AEs, increase patient safety, and standardize care practices, thus contributing to greater effectiveness in enteral nutrition therapy. Future research may evaluate the effectiveness of the updated protocol in different ICUs, analyze catheter fixation materials and techniques, the incidence of skin lesions, the durability of fixation, and the economic impact of implementation, with a focus on reducing hospital costs.