Insertion of a tunnelled PICC through the brachiocephalic vein as a long-term venous access in a small infant: Thinking outside the box

The insertion of a long-term central venous catheter(CVC) for parenteral nutrition in neonates and small in-fants is problematic. Ideally, a cuffed CVC such as theHickmanâ/Broviacâcatheter is used for this purpose. However, neonatal-sized cuffed CVCs are expensive and not readily available in most institutions What can be an alternative?

Authors:
Ignacio Oulego-Erroz; Gloria López-Blanco; Roger Benavent-Torres; Sandra Terroba-Seara

Corresponding author. Complejo Asistencial Universitario de León, C/Altos de Nava sn. CP: 24008, León, Spain. E-mail address: Ignacio.oulego@gmail.com (I. OulegoErroz)