Why the study?
To evaluate the accessibility, success rate, and attributable complications, and to describe the maneuver for PICC line insertion via proximal basilic or axillary veins in neonates.
Is PICC line insertion via proximal basilic or axillary veins safe and successful in neonates with difficult intravenous access?
Is PICC line insertion via proximal basilic or axillary veins safe and successful in neonates with difficult intravenous access?
PICC line insertion via proximal basilic or axillary veins is a safe and highly successful method for establishing central intravenous access in neonates, including extremely premature infants.
Supports proximal basilic/axillary PICC access in neonates; leaves open need for randomized safety comparisons.
Purpose of review: to evaluate the accessibility, success rate, and attributable complications and to describe the maneuver for PICC line insertion via proximal basilic or axillary veins in neonates. Recent findings: This study demonstrated a total of 78 PICCs inserted successfully 91.7% and fewer complications. The median postnatal age of patients was eight days (2 days - 92days), and the median weight of patients at the procedure was 2600g (590g - 3900g). The median corrected gestational age of patients at the procedure was 36weeks (23weeks - 46weeks). Summary: This study demonstrated a high success rate and fewer complications of proximal basilic and axillary veins central lines in neonates with difficulties getting intravenous vascular access. This procedure is also safe for Very low birth and extremely low birth Preterm and can be used as central intravenous access for a long time.
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Aly et al. (2023) studied this question.
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