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Updated: Jun 21, 2026

A Protocol to Set Up Needle-Free Connector with Positive Displacement on Central Venous Catheter in Intensive Care Unit
Published on: July 13, 2019
Intravenous peripherally-inserted central catheters for antibiotic therapy in children with cystic fibrosis
S Bui1, F Babre, S Hauchecorne
1CHU de Bordeaux, Hôpital Pellegrin-Enfants, CRCM Pédiatrique, France. stephanie.bui@chu-bordeaux.fr
Insights
Peripherally inserted central catheters (PICCs) are safe and effective for delivering intravenous therapy in children with cystic fibrosis (CF). This study found high success rates, minimal complications, and improved patient well-being with PICC use.
Area of Science:
- Pediatric Medicine
- Vascular Access Devices
- Cystic Fibrosis Management
Background:
- Cystic Fibrosis (CF) requires frequent intravenous (IV) therapy.
- Central venous access is crucial for effective CF treatment.
- Peripherally inserted central catheters (PICCs) offer a potential solution for venous access in pediatric CF patients.
Purpose of the Study:
- To evaluate the safety and efficacy of peripherally inserted central catheters (PICCs) in children with cystic fibrosis.
- To assess the procedural success rate, complications, and patient/operator satisfaction associated with PICC insertion in this population.
Main Methods:
- A descriptive study involving the insertion of PICCs in pediatric patients with CF.
- Data collected included insertion success rates, procedure duration, difficulties encountered, and side effects.
- Patient and operator satisfaction, catheter functionality, and central vein patency were also assessed.
Main Results:
- PICC insertion was successful in 93.2% of 44 procedures across 24 children (median age 10.2 years).
- Few procedural difficulties and no major complications or infections were observed.
- Catheters remained functional for IV therapy in most cases, with high operator and patient satisfaction.
Conclusions:
- Peripherally inserted central catheters (PICCs) are a safe, well-tolerated, and effective option for IV therapy in pediatric CF patients.
- PICC insertion can be performed easily in a ward setting, potentially improving patient comfort and well-being.
- PICCs demonstrate high functionality and lead to positive outcomes in children with cystic fibrosis requiring long-term venous access.
Background:
We aimed to evaluate the use of central catheters introduced by a peripheral vein (PICC) in children with CF.
Methods:
A descriptive study in patients in whom a PICC (Beckton Dickinson) was inserted.
Results:
24 children aged (median (range) 10.2 years (0.3-17.3) undergoing 44 procedures were included. PICC was successfully inserted in 93.2% (41/44) of cases. Total procedure duration was (median (range)) 32.5 (10-105) minutes. The operators encountered few difficulties, median (range) 2 (1-10) (1 (absence) to 10 (maximal)); median (range) 1 (1 to 5) attempt per child). No major side effects or infections were observed. PICC obstruction in 5 (12%) cases was successfully unblocked in 4 cases (urokinase). The catheter was functional throughout the antibiotic course in 40/41 cases. A final Doppler scan (30 cases) showed total permeability of the central veins in all cases. Satisfaction index of the operators and the patients were high: median (range) 9.5 (1-10) and 8.0 (6-10) (scale: 1 (worse) to 10 (best)), respectively.
Conclusion:
PICCs are simple to use, and may be safely inserted in the ward. Such catheters are well tolerated, may increase the well-being of children with CF and prove an effective means by which to deliver IV therapy in this population.
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