The application of peripherally inserted central venous catheters (PICCs) in neonates has proven effective in avoiding repetitive insertions and excessive use of transfusion consumables. However, the frequent occurrence of PICC-associated complications deserves special attention, especially in extremely or very low birthweight (E/VLBW) infants, which in turn affects the quality of neonatal PICC practice.
A total of 519 E/VLBW infants were included in this study. There were 77 cases of complications involving 72 infants with an overall incidence of 12.13%. The order of incidences of different complications from high to low was phlebitis (7.71%), malposition (3.66%), leakage (1.35%), pleural effusion (1.15%), central line-associated bloodstream infection (0.58%, 0.25/1,000d), and accidental removal (0.38%).
E/VLBW infants might be more inclined to develop PICC-associated phlebitis. Catheters inserted in the axillary or basilic vein are preferred if possible.
This study is edited by: Fiammetta Piersigilli, Cliniques Universitaires Saint-Luc, Belgium and
reviewed by: Robin Van Der Lee, Radboud University Medical Centre, Netherlands
Advisory board of the NEVAT
Authors : Yaohua Wu1,2, Jing Yan1,2, Mengyan Tang3,2*, Yanling Hu1,2, Xingli Wan1,2, Xiaowen Li1,2, Qiong Chen1,2 and Xia Li1,2
1 Department of Neonatology Nursing, West China Second University Hospital, Sichuan University/ West China School of Nursing, Sichuan University, Chengdu, China,
2 Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China,
3 Department of Child Healthcare Nursing, West China Second University Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China