Complications and Outcomes of Peripherally Inserted Central Venous Catheters (PICC) in Neonates: A Comprehensive Tertiary Care Unit Analysis
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https://doi.org/10.61705/8k4jj517Keywords:
Peripherally Inserted Central Venous Catheter, Neonates, Complications, Infection, Thrombosis, Catheter MalpositionAbstract
Background: Peripherally Inserted Central Venous Catheters (PICCs) are frequently used in neonatal intensive care units to provide long-term intravenous access. Despite their utility, PICCs are associated with various complications that can adversely affect neonatal outcomes.
Objective: This study aimed to explore the complications and outcomes associated with PICC placement in neonates in a tertiary care unit.
Methods: A retrospective analysis of 200 neonates who underwent PICC placement over a two-year period was conducted. Data on patient demographics, indications for PICC placement, PICC insertion details, complications, duration of catheter use, and outcomes were collected from electronic medical records.
Results: The overall complication rate was 30%, with infections being the most common complication (15%), followed by thrombosis (10%) and catheter malposition (5%). The average duration of catheter use was 10 ± 5 days. Treatment was successfully completed in 90% of cases, while catheter removal due to complications was required in 7.5% of cases. The incidence of complications varied by the indication for PICC placement, with neonates receiving Parenteral Nutrition having the highest rates of infection (20%), thrombosis (10%), and catheter malposition (5%).
Conclusion: PICCs are effective in providing long-term intravenous access in neonates; however, they are associated with a significant risk of complications. Stringent infection prevention measures, careful monitoring for signs of thrombosis, proper training and expertise in catheter placement, and consideration of the indication for PICC placement are essential in minimizing the risk of complications and optimizing the use of PICCs in neonates.
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