Tunneled central venous catheter for neonates: A simple technique for prolonged indwelling central catheters in intensive care

Abstract

This technique is an interesting alternative when PICC insertion is not possible.

A new modified Seldinger technique for 2- and 3-French peripherally inserted central venous catheters

“…However, as alternatively offered MI for 2-F PICCs have proved even less useful, this catheter is still widely used in premature and neonatal patients. Lesions of peripheral veins and the surrounding tissue during the insertion procedure happen mostly in proximal locations such as the brachial vein and the external jugular vein [1,6,9]. Most of these complications arise from the fact that children move during the insertion procedure.…”

Atypical use of PICC in Infants and Small Children: A Unicentric Experience

“…Once the vein was cannulated, the exit-site was located in a low-risk area for microbial colonization in order to reduce the risk of catheter infection (CRBSI) (9, 20, 21). Second, the length can be adjusted even for newborn babies (22). Adjusting the length of the catheter correctly and sitting the tip in the CAJ is crucial for minimizing the risk of thrombosis (10, 14, 23).…”

The Path to Durable Access in Critically Ill Children; Not a Straight Line*

“…In this issue of Pediatric Critical Care Medicine , Mills et al (7) report on a series of 182 tunneled femoral venous catheters placed in 161 children placed by cardiac intensivists. Although the technique is similar to procedures performed with specialized equipment and interventional radiologists at the bedside (8, 9), Mills et al (7) proposes a methodology possible with common peripherally inserted central catheter (PICC) equipment by intensivists and reports contemporary outcome measures. The rate of central line associated bloodstream infection in this population was overall favorable at 0.75 per 1,000 line-days.…”