Document Detail

Technological advances for PICC placement and management.
MedLine Citation:
PMID:  17844776     Owner:  NLM     Status:  MEDLINE    
Placement of a peripherally inserted central catheter (PICC) is often complicated by the infant's small size and previous use of the peripheral veins, making the traditional means of insertion inadequate. New techniques and technologies, previously reserved for pediatric and adult patients, are now available for use in neonates and can enhance the practice of neonatal PICC teams. The modified Seldinger technique allows insertion of the PICC via smaller peripheral veins while decreasing venous trauma and enhancing the rate of successful placement. A second useful technique, the catheter exchange procedure, allows insertion of a new catheter within the same vein when complications such as occlusion, breakage, or inappropriate position occur and require removal of the currently dwelling PICC. Clinicians caring for neonates and infants must continually update their knowledge and skill by incorporating new techniques into their practice.
Janet Pettit
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  7     ISSN:  1536-0903     ISO Abbreviation:  Adv Neonatal Care     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-09-11     Completed Date:  2007-10-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  122-31     Citation Subset:  IM    
Neonatal Intensive Care Unit, 1441 Florida Avenue, Doctors Medical Center, Modesto, CA 95354, USA.
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MeSH Terms
Catheterization, Central Venous / adverse effects,  instrumentation,  methods*
Catheters, Indwelling
Equipment Failure
Infant, Newborn
Intensive Care Units, Neonatal

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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