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Updated: Mar 15, 2026
State of the Art Cranial Ultrasound Imaging in Neonates
Published on: February 2, 2015
Insertion of peripherally inserted central catheters in neonates less than 1.5 kg using ultrasound guidance
Kevin N Johnson1, Tina Thomas1, Jason Grove2
1Department of Pediatric Surgery, Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, USA.
Background:
Neonates commonly require central access, and in those with very low or extremely low birthweight this can be challenging. Described here is a technique that uses ultrasound guidance in the placement of peripherally inserted central catheters (PICC) in neonates and an analysis of outcomes.
Methods:
A retrospective chart review was conducted of all patients below 1500 g that underwent placement of a peripherally inserted central catheter under ultrasound guidance between January 1, 2012, and December 31, 2014 at a single center. All patients had multiple previous attempts at PICC placement by experienced NICU vascular access nurses prior to referral. Complications were determined based on clinical and procedural notes.
Results:
A total of ten patients were found during the study period. The average estimated gestational age was 29.8 weeks (range 26-38 weeks).The average weight at the time of PICC insertion was 968 g (range 485-1390 g). All attempts at placement were successful. There were no complications directly related to PICC insertion.
Conclusion:
Ultrasound guided PICC line placements using ultrasound is an effective technique, which can be applied to very low and extremely low birth weight infants, with excellent success rates and a low risk of complications.
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