Peripherally inserted central catheter placement in infants and children

Leah E Braswell1

  • 1Pediatric Interventional Radiology, Department of Radiology, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, AR 72202, USA. braswellleahe@uams.edu

Insights

Peripherally inserted central catheters (PICCs) provide essential long-term venous access for pediatric patients. This article details a hospital's systematic approach to managing PICC services for children and infants.

Area of Science:

  • Pediatric Interventional Radiology
  • Vascular Access Procedures
  • Medical Device Management

Background:

  • Peripherally inserted central catheters (PICCs) are crucial for long-term venous access in pediatric patients.
  • PICC placement and management present unique challenges in infants and children.
  • Stable venous access is vital for medication administration and blood sampling in pediatric care.

Purpose of the Study:

  • To describe a hospital-wide, step-by-step approach to operating a PICC service.
  • To address the specific challenges of PICC placement and management in pediatric populations.
  • To standardize and optimize PICC service delivery within a healthcare institution.

Main Methods:

  • Development of a standardized, institutional PICC service protocol.
  • Implementation of a systematic, step-by-step procedure for PICC insertion.
  • Focus on the management and care of PICCs in pediatric patients by the Interventional Radiology team.

Main Results:

  • Establishment of a comprehensive, hospital-wide PICC service.
  • Improved management of venous access for pediatric patients requiring long-term therapy.
  • Detailed procedural guidelines for PICC placement and maintenance in infants and children.

Conclusions:

  • A structured, institutional approach can effectively manage a pediatric PICC service.
  • Standardized protocols enhance the safety and efficacy of PICC lines in children.
  • Interventional Radiology plays a key role in optimizing pediatric vascular access solutions.

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