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Updated: Jul 2, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
09:57

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
PubMed

Insights

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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