Peripherally inserted central catheters in infants and children – indications, techniques, complications and clinical recommendations

  title={Peripherally inserted central catheters in infants and children – indications, techniques, complications and clinical recommendations},
  author={Bo Westergaard and Volker Classen and S{\o}ren Walther‐Larsen},
  journal={Acta Anaesthesiologica Scandinavica},
Venous access required both for blood sampling and for the delivery of medicines and nutrition is an integral element in the care of sick infants and children. Peripherally inserted central catheters (PICCs) have been shown to be a valuable alternative to traditional central venous devices in adults and neonates. However, the evidence may not extrapolate directly to older paediatric patients. In this study, we therefore review the indications, methods of insertion and complications of PICC… 

A review of peripherally inserted central catheters and various types of vascular access in very small children and pediatric patients and their potential complications

The main aims of the present study are to review approximately all relevant publications concerning PICC procedures, any possible complications, and the most appropriate decision for preventing these complications due to their high mortality rate.

Obstruction of peripherally inserted central catheters in newborns: prevention is the best intervention

  • M. Pedreira
  • Medicine
    Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo
  • 2015

In defense of the use of peripherally inserted central catheters in pediatric patients

The choice of the central venous access device—particularly in oncologic children—should be based on an evaluation of clinical advantages and risks, as provided by appropriate and scientifically accurate clinical studies.

Complications associated with peripherally inserted central catheters in paediatric cardiac patients.

Peripherally inserted central catheters in paediatric cardiac patients have complication rates similar to other paediatric populations, and a prospective assessment of the factors associated with their complications in this patient population may be beneficial in improving outcomes.

Application of peripherally inserted central catheters in critically ill newborns experience from a neonatal intensive care unit

Nursing measures of the maintenance of body temperature and the evaluation of blood vessels were important conditions for improving the success rate of one puncture in critically ill neonates, and PICC catheterization as early as 48 hours will not increase the difficulty of PicC puncture.

Use of peripherally inserted central catheters (PICC) via scalp veins in neonates

  • A. CallejasH. OsiovichJ. Ting
  • Medicine
    The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
  • 2016
Insertion of PICC via the scalp veins are feasible and not associated with higher complication rates compared with insertions via other sites.

Use of 8-cm 22G-long peripheral cannulas in pediatric patients

Whether long peripheral cannulas provide reliable medium-term intravenous access avoiding the need for multiple peripheral intravenous cannulations or peripherally inserted central catheter insertion in children undergoing surgery is clarified.

Central Catheter of Peripheral Insertion in Pediatric Oncology: a Retrospective Study

PICC has been shown to be an important option for intravenous therapy in Pediatric Oncology, and most of the removals of the PICC were elective reasons, that is, due to the end of the intravenous Therapy, in addition to a high rate of catheter permanence.

Peripherally Inserted Central Catheters in Pediatric Patients: To Repair or Not Repair

The results of this study support repairing a broken PICC instead of removing or replacing the line.



Peripherally inserted central catheters in infants and children.

Peripheral insertion of central catheters was highly feasible in infants and children with this protocol and was well tolerated in the pediatric population with a low frequency of complications.

Peripherally inserted central catheters in children.

F fluoroscopically guided PICC placement is feasible and safe in pediatric patients and postinsertion complications occurred at a rate comparable to those seen with blind insertion.

Peripherally Inserted Central Catheters: A Randomized, Controlled, Prospective Trial in Pediatric Surgical Patients

Anesthesiologists should consider placing PICCs in patients requiring more than 4 days of in-hospital postoperative care, especially if frequent blood sampling or IV access is required, and better satisfaction can make them a cost-effective option.

Long-term use of peripherally inserted central venous catheters for cancer chemotherapy in children

PICCs were found to provide a reliable access for prolonged intravenous administration and blood sampling in children intensively treated for hematologic and solid malignancies, thus leading to a reduction of physical pain and psychological stress in such patients.

Survey of the use of peripherally inserted central venous catheters in children.

PICCs provide reliable and safe access for prolonged IV therapy in neonates and children and similar complication rates with use in and out of hospital suggest that home IV therapy can be safely delivered with PICCs, avoiding expensive hospitalization.

Use of percutaneous silastic central venous catheters in neonates and the management of infectious complications.

It is concluded that Silastic central venous catheters can be used safely to deliver intravenous nutrition to extremely small preterm infants over a prolonged period of time, and in carefully selected patients, successful treatment of complicating infections may be achieved without catheter removal.

Infectious Complications of Peripherally Inserted Central Venous Catheters in Children

PICCs are safe and may be used for prolonged periods and on multivariate analysis, the rates of infectious complications are lower than for tunneled central venous catheters.

Diagnosis and management of central venous catheter-related bloodstream infections in pediatric patients.

  • P. Flynn
  • Medicine
    The Pediatric infectious disease journal
  • 2009
The use of central venous catheters (CVC) is beneficial for the management of many groups of pediatric patients including low birth weight neonates, infants with short-gut syndrome, children with

The carina as a landmark for central venous catheter placement in small children

The results are analogous to those in adults and confirm that the carina is a simple anatomical-radiological landmark, superior to the pericardial reflection, that can be used to identify the placement of CVC even in newborn and small children.