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Updated: May 29, 2026
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
Peripherally inserted central catheters in the neonatal period
Ibrahim Uygun1, Mehmet Hanifi Okur, Selcuk Otcu
1Department of Pediatric Surgery, Dicle University, Medical School, Turkey.
Acta Cirurgica Brasileira
|September 29, 2011
Summary
A new technique for inserting peripherally inserted central catheters (PICCs) in neonates demonstrates a high success rate of 95%. This easy and safe method minimizes insertion attempts and complications, improving neonatal care.
Area of Science:
- Neonatal intensive care
- Vascular access devices
- Pediatric surgery
Background:
- Peripherally inserted central catheters (PICCs) are crucial for neonatal care.
- Insertion of PICCs in neonates is challenging, with a high failure rate.
- Existing techniques require delicate handling due to the small size of neonatal vasculature.
Purpose of the Study:
- To introduce and evaluate a novel, simplified technique for neonatal PICC insertion.
- To assess the efficacy and safety of the new technique in a Neonatal Surgical Intensive Care Unit.
- To analyze PICC features including success rate, insertion attempts, removal reasons, and complications.
Main Methods:
- Retrospective data collection of 40 PICCs inserted over a 6-year period (2004-2010).
- Data gathered from Kutahya Evliya Celebi Government Hospital and Dicle University Hospital.
- Analysis of patient demographics, insertion details, and outcomes.
Main Results:
- The new technique achieved a 95% success rate (40/42 PICCs).
- 86% of PICCs were successfully inserted on the first attempt.
- The long saphenous vein was the most common access site (85%); surgical abdomen was the primary indication (38%).
- Minor complications (bleeding) occurred in 2 neonates; no major complications or PICC-related deaths were reported.
Conclusions:
- The developed technique for neonatal PICC insertion is presented as an easy and safe method.
- This technique may offer advantages over previously reported methods in the literature.
- The findings support the adoption of this technique for improved neonatal vascular access.
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