Vascular access in neonatal care settings: selecting the appropriate device

The aim of this article is to increase knowledge and understanding of issues relating to choosing and using vascular access devices in the neonatal patient population. The article reviews the range of options for acquiring peripheral and central circulatory access in the newborn and considers issues around the choice, insertion, use and aftercare of these medical devices. The issues explored highlight the importance of appropriate device and insertion-site selection, skin preparation and aftercare. Paying due attention to these aspects is an essential component of the neonatal nurses role and ensures that the risks of adverse events are minimised.