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Related Experiment Video

Updated: Aug 14, 2025

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A nurse-inserted peripherally inserted central catheter program in general pediatrics: a single-center experience.

Zhuowen Yu1, Xiaojing Hu2, Xiaofeng Xu1

  • 1Department of Gastroenterology and Pulmonology, Children's Hospital of Fudan University, Shanghai, China.

BMC Pediatrics
|January 13, 2023
PubMed
Summary

Nurse-inserted peripherally inserted central catheters (PICCs) in pediatrics are feasible and safe, with low complication rates. Young age and small catheter diameter are key risk factors for PICC complications.

Keywords:
Complication, arm movementsMalpositionPediatricsPeripherally inserted central catheter

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Area of Science:

  • Pediatric critical care
  • Vascular access devices
  • Nursing practice

Background:

  • Peripherally inserted central catheters (PICCs) are vital for managing pediatric patients with chronic conditions.
  • PICC-related complications pose significant concerns and require further investigation.

Purpose of the Study:

  • To evaluate the experience and outcomes of a nurse-inserted PICC program in a general pediatric setting.
  • To identify complications and risk factors associated with pediatric PICC insertions.

Main Methods:

  • A retrospective descriptive cohort study analyzed PICCs inserted between December 2015 and December 2019.
  • Data from a prospectively collected database were used to assess complications and risk factors.
  • The study included analysis of arm movements for correcting malpositioned PICCs.

Main Results:

  • 169 PICCs were inserted in pediatric patients with a median age of 42 months; inflammatory bowel disease was the most common diagnosis.
  • The overall complication rate was 16.4 per 1000 catheter days, with malposition and occlusion being most frequent.
  • Younger age and smaller PICC diameter (1.9Fr) were identified as significant risk factors for complications.

Conclusions:

  • Nurse-initiated PICC programs in general pediatrics are feasible and demonstrate low complication rates.
  • PICC tip malposition and occlusion are primary complications, with younger age and smaller catheter size being major risk factors.
  • Arm manipulation offers a simple and effective method for correcting newly inserted, malpositioned PICCs.