Peripherically-inserted Central Venous Catheter in Newborn Intensive Care Unit

Abstract

Objective: To evaluate the use of peripherically-inserted central venous catheter (PICC) in newborns of intensive care units.

Patients and Methods: 46 catheters inserted in 40 neonates were evaluated prospectively analyzing 4 variables: number of venipuncture attempts, time of installation, reasons for removal and complications.

Results: 49% were settled in the first attempt and 69,5% in antecubital veins, locating 63% in superior vena cava. The mean venipuncture attempts was 2,1, being significantly lower in low birth weight neonates (< 1 500 g = 1,7 ± 1,1; > 1 500 g = 2,5 ± 1,5; p = 0,045). The average time of installation was 20 minutes for very low birth weight newborns and 25 for the greater ones. The duration period was similar. 50% were retired by the end of intravenous therapy, 19,6% due to occlusion and 8,7% because of phlebitis.

Conclusions: PICC constitute a first line alternative for very low birth weight newborns where installation is easier, being a safe and effective intervention.