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A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Neonatal peripherally inserted central catheters: recommendations for prevention of insertion and postinsertion
Pamela R Paulson1, Kellee M Miller
1Denver Health Medical Center, Denver, Colorado 80204, USA. ppaulson@dhha.org
Neonatal Network : NN
|August 14, 2008
Summary
Peripherally inserted central catheters (PICCs) are vital for neonatal care, especially for premature infants requiring long-term IV access. Proper technique and nursing care minimize risks and prevent complications.
Area of Science:
- Neonatal Medicine
- Vascular Access Devices
- Pediatric Nursing
Background:
- Peripherally inserted central catheters (PICCs) are essential tools in neonatal intensive care units.
- They provide crucial long-term intravenous access for premature infants and neonates with specific medical needs.
Purpose of the Study:
- To review the indications, benefits, and risks associated with PICC placement in neonates.
- To highlight factors influencing successful PICC insertion and strategies for minimizing complications.
Main Methods:
- Review of current literature and clinical best practices regarding neonatal PICC insertion.
- Emphasis on the importance of experienced personnel, anatomical knowledge, and appropriate vein selection.
- Discussion of pre-insertion, insertion, and post-insertion care protocols.
Main Results:
- Successful PICC placement is influenced by experienced inserters, early identification of candidates, and precise technique.
- Potential insertion risks include pain, vessel damage, and malposition.
- Post-insertion complications encompass occlusions, thrombosis, infection, and catheter failure.
Conclusions:
- Optimizing PICC utilization in neonates requires a multifaceted approach, including skilled insertion and vigilant post-procedure care.
- Adherence to manufacturer guidelines and robust nursing interventions are critical for preventing complications.
- Effective management ensures the continued benefit of PICCs for vulnerable infant populations.
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