Peripherally Inserted Central Catheter (PICC line) Insertion
Video taken from the channel: Ajay Agade
PICC Line Assessment (Nursing Skills)
Video taken from the channel: NurseMinder
Pediatric Series (Video 1 of 3): PICC
Video taken from the channel: IR Education
Major Safety Milestone: NICU Achieves 3 Years with No Central Line Infections
Video taken from the channel: MedStar Washington Hospital Center
Neonatal PICC Insertion 2008
Video taken from the channel: Vascular Access
Inserting a PICC Line in a Premature Infant
Video taken from the channel: NeoConsult International
PICC Placement in the Neonate NEJM
Video taken from the channel: Pulmonary Resident Essentials
A PICC line is a long, soft, plastic tube inserted into a large vein in the baby’s arm or leg. 1 The line is guided up into a large vein near the heart where it can deliver medications such as antibiotics or chemotherapy) and/or total parental nutrition (TPN). The procedure for inserting a PICC line takes about 1 to 2 hours to complete. The PICC line should be visualized in either the left or right brachiocephalic vein using either the high frequency linear probe or the sector (cardiac) probe.
Remember that the brachiocephalic veins are relatively superficial (depth less than 2cm in most neonates) so minimal depth is required. Cardiac tamponade is a rare complication of PICC line use in neonatal units. It is a medical emergency, with associated morbidity and mortality. Literature suggests an incidence of 0.76% to 3% in infants with PICC lines.
Retrospective data from the UK estimate an incidence of 0.2%, with a. Peripherally inserted central catheters (PICCs) are pretty common in NICUs these days. As time has gone by, patterns have shifted in many units from having many people placing PICCs to dedicated teams. Although Peripherally Inserted Central Catheters (PICC) provide vascular access to newborns who require parenteral nutrition (PN) and medications, they can be associated with complications that lead to significant morbidity and mortality.
o Use the smallest catheter to complete the therapeutic goal (generally 3Fr PICC line is used to obtain laboratory samples and give blood products). o Place PICC line in lower extremities, preferably left leg. Right leg is used for heart catheterization. o If there are issues or. ices, policies, and providers in NICUs. Methods: The Neonatal PICC1 Survey was conducted through the use of the electronic mailing list of a national neonatal professional organization’s electronic membership community. Questions addressed PICC-related policies, monitoring, practices, and providers.
Descriptive statistics were used to assess results. Results: Of the 156 respondents accessing. Central Line Care PICC insertion in the neonate. The insertion of a longline should not be considered a routine.
However, infants who are VLBW, likely to be slow to reach full enteral feeds, have IV access problems or long term IV nutrition needs (NEC, major. CARE AND MAINTENANCE OF NEO-PICC PERIPHERALLY INSERTED CENTRAL CATHETER The Neo-Picc is designed for use when intermediate or long term IV administration is prescribed. Neo-Picc is intended for infusion of T.P.N., medications and IV fluids for neonatal and small pediatric patients.
To promote optimal functioning of the Neo-Pic. A PICC line is a thin, soft, long catheter that is inserted into a vein in the arm, leg or neck The tip of the catheter is positioned in a large vein that carries blood into the heart The PICC line is used for long-term intravenous antibiotics, nutrition or medications, and for blood draws Recommended for NICU patients for which IV therapy.
List of related literature:
|from Sleisenger and Fordtran’s Gastrointestinal and Liver Disease E-Book: Pathophysiology, Diagnosis, Management|
|from Fundamentals of Pediatric Surgery|
|from Maternal & Child Health Nursing: Care of the Childbearing & Childrearing Family|
|from Merenstein & Gardner’s Handbook of Neonatal Intensive Care E-Book: An Interprofessional Approach|
|from Clinical Procedures in Emergency Medicine|
|from Hoffbrand’s Essential Haematology|
|from Holcomb and Ashcraft’s Pediatric Surgery E-Book|
|from Textbook of Pediatric Gastroenterology, Hepatology and Nutrition: A Comprehensive Guide to Practice|
|from Children in Intensive Care E-Book: A Survival Guide|
|from Skills for Midwifery Practice Australia & New Zealand edition|