ASSESSMENT OF INFANTS WITH PERIPHERALLY INSERTED CENTRAL CATHETERS
- 1 February 2003
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Advances in Neonatal Care
- Vol. 3 (1), 14-26
- https://doi.org/10.1053/adnc.2003.50011
Abstract
Peripherally inserted central catheters (PICCs) are frequently placed in neonates to optimize nutrition and provide stable infusions of critical medications into the central vascular system. PICCs have been associated with a number of device-specific complications that can manifest during insertion, while the line is indwelling, and/or after the removal of the line. The first article of this series in Focus on the Physical, titled "Assessment of Infants With Peripherally Inserted Central Catheters: Part I. Detecting the Most Frequently Occurring Complications," presented assessment strategies to detect common complications such as catheter occlusions and catheter-related bloodstream infections. Part 2 of this series emphasizes the importance of ongoing systematic assessment of PICCs for device-specific complications such as catheter migration, dislodgement, breakage, phlebitis, and thrombosis, as well as the life-threatening complications of pleural and pericardial effusion and tamponade. Each complication is described, along with a review of the etiology, a description of presenting signs and symptoms, and key clinical interventions.Keywords
This publication has 44 references indexed in Scilit:
- Sepsis Outcomes in Infants and Children With Central Venous Catheters: Percutaneous Versus Surgical InsertionJournal of Obstetric, Gynecologic & Neonatal Nursing, 1996
- Complications of Long Arm‐Catheters: A Randomized Trial of Central vs Peripheral Tip LocationJournal of Parenteral and Enteral Nutrition, 1996
- Retention of Percutaneous Venous Catheter in the Newborn: A Report of Three CasesAmerican Journal of Perinatology, 1995
- Central venous catheter-related complications in newborns and infants: A 587-case surveyJournal of Pediatric Surgery, 1991
- The Percutaneous Central Venous Catheter For Small or 111 InfantsMCN: The American Journal of Maternal/Child Nursing, 1991
- Staphylococcus epidermidis and retention of neonatal percutaneous central venous catheters.Archives of Disease in Childhood, 1990
- Central Venous Catheter Vascular ErosionsAnnals of Surgery, 1989
- Perforation of the heart by central venous catheters in infants: Guidelines to diagnosis and managementJournal of Pediatric Surgery, 1983
- Insertion of a small central venous catheter in neonates and young infantsJournal of Pediatric Surgery, 1982
- Displacement of Right Atrial and Endotracheal Catheters with Neck FlexionAnesthesia & Analgesia, 1978