title: [Application of peripherally inserted central catheter for parenteral nutrition in critically ill neonates].
abstract: OBJECTIVE
  To apply peripherally inserted central catheter (PICC) in critically ill neonates who require long-term parenteral nutrition.
  
  
  METHODS
  A retrospective review of 98 critically ill neonates who had a PICC inserted and received long-term parenteral nutrition from March to December 2011 was performed.
  
  
  RESULTS
  The PICC insertion succeeded in 74.5% (73/98) of the cases at the first attempt. The catheter remained for an average of (19.7 +/- 2.0) days. Of the 98 cases, 92 underwent planned extubation after enteral nutrition was fully established; 10 developed complications within the follow-up period of 956 days. The PICC-associated complications occurred at a rate of 10. 5 per 1000 catheter-days, including infection (n=0), phlebitis (n=1), accidental dislodgement (n=3), catheter occlusion (n=3), and hemorrhage in puncture point (n=3).
  
  
  CONCLUSIONS
  PICC can be used as a safe venous access for critically ill neonates for long-term parenteral nutrition. PICC-associated complications can be reduced through improving nursing skills, especially for catheter-related infection.
authors: Pediatric Intensive Care Unit, West China Hospital, Sichuan University, Chengdu 610041, China.
authors: Meng-Lin
authors: ML
authors: Tang
authors: Ji-Ping
authors: JP
authors: Li
authors: Yan
authors: Y
authors: Liao
authors: Qian
authors: Q
authors: Wei
authors: Yu-Lan
authors: YL
authors: Luo
mesh_terms: D002405:Catheterization, Central Venous / Q000379:methods*; D002406:Catheterization, Peripheral / Q000379:methods; D003422:Critical Care; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010288:Parenteral Nutrition / Q000379:methods*; D012189:Retrospective Studies