Central venous lines and how to manage them.
The importance of vascular access in neonatal clinical practice is increasing, because of the survival of a larger number of premature babies, who require administration of long-term intravenous fluids and medications than in the past. In these newborn central venous lines are preferred to peripheral lines, particularly Peripherally Inserted Central Venous Catheter (PICC). Despite of the benefits of this device, PICC complications can negatively affect morbidity and mortality of the neonate. This article describes the principal strategies and recommendations for the success of the PICC insertion procedure and for its better management.
Stolfi
Ilaria
I
Neonatal Intensive Care Unit, Department of Pediatrics, Umberto I Policlinico of Rome, Sapienza University of Rome, Italy. ilaria.stolfi@gmail.com
Boccanera
Francesca
F
Chiara
Castellano
C
Ticchiarelli
Alessandra
A
Fassi
Carla
C
Giannini
Luigi
L
Moretti
Corrado
C
Colarizi
Patrizia
P
D055499:Catheter-Related Infections / Q000517:prevention & control; D002405:Catheterization, Central Venous / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D007224:Infant Care; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D012307:Risk Factors