Download PDF
Am J Perinatol 2006; 23(1): 037-040
DOI: 10.1055/s-2005-921330
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Peripherally Inserted Central Venous Catheters in Newborn Infants: Malpositioning and Spontaneous Correction of Catheter Tips

Khalil Al Tawil1 , Alaa Eldemerdash1 , Khalid Al Hathlol1 , Bdeir Abu Laimoun1
  • 1Department of Pediatrics, King Fahad National Guard Hospital, Riyadh, Saudi Arabia
Further Information

Publication History

Publication Date:
15 November 2005 (online)

Also available at
    Permissions and Reprints

ABSTRACT

Peripherally inserted central venous catheters (PICCs) are increasingly used in the neonatal intensive care unit (NICU). Malpositioning of the catheter's tip is a known occurrence that may require repositioning or removal of the catheter. We report our experience with insertion and management of PICCs at the NICU of King Fahad National Guard Hospital in Riyadh, Saudi Arabia, over a 1-year period. We also report on five newborn infants in whom the tips of the catheters were malpositioned. Their subsequent course showed spontaneous correction of the tips of those catheters within 1 day.

KEYWORDS

Peripherally inserted central venous catheters (PICC) - malpositioned - spontaneous correction - total parenteral nutrition

REFERENCES

  • 1 Sastre L J, Colomer F B, Cotallo C G, Aparicio R A. Prospective evaluation of percutaneous central venous catheters in newborn infants. Castrillo Hospital Group.  An Esp Pediatr. 2000;  53 138-147
    PubMedSearch in Google Scholar
  • 2 Hogan M J. Neonatal vascular catheters and their complications.  Radiol Clin North Am. 1999;  37 1109-1124
    CrossrefPubMedSearch in Google Scholar
  • 3 Rastogi S, Bhutada A, Berdon W E, Wung J-T. Spontaneous correction of malpositioned percutaneous central venous lines in infants.  Pediatr Radiol. 1998;  28 694-696
    CrossrefPubMedSearch in Google Scholar
  • 4 Frey A M. Pediatric peripherally inserted central catheters program report.  J Intrav Nursing. 1995;  18 280-291
    PubMedSearch in Google Scholar
  • 5 Thiagarjan R R, Bratton S L, Gettmann T, Ramamoorthy C. Efficacy of peripherally inserted central venous catheters placed in noncentral veins.  Arch Pediatr Adolesc Med. 1999;  152 436-439
    PubMedSearch in Google Scholar
  • 6 Racadio J M, Johnson N D, Doellman D A. Peripherally inserted central venous catheters: success of scalp-vein access in infants and newborns.  Radiol. 1999;  210 858-860
    PubMedSearch in Google Scholar
  • 7 Currarino G. Migration of jugular or subclavian venous catheters into inferior tributaries of the brachio-cephalic veins or into the azygos vein, with possible complications.  Pediatr Radiol. 1996;  26 439-449
    CrossrefPubMedSearch in Google Scholar
  • 8 Beardsall K, White D K, Pinto E M, Kelsall A WR. Pericardial effusion and cardiac tamponade as complications of neonatal long lines: are they a problem?.  Arch Dis Child Fetal Neonatal Ed. 2003;  88 F292-F295
    CrossrefPubMedSearch in Google Scholar

Khalil Al TawilM.D. F.A.A.P. 

Consultant Neonatologist, Department of Pediatrics, Internal mail code 1510, King Fahad National Guard Hospital

P.O. Box 22490, Riyadh 11426, Kingdom of Saudi Arabia