What is it about?

A large body of evidence has demonstrated that using ultrasound technology to guide vascular access improves patient care, promotes success, enhances safety, and reduces complications. This article will empower NICU clinicians to improve outcomes for neonates and their families by advancing knowledge and provide superior patient care. The article will: -Describe ultrasound guided PICC insertion in two ELBW infants -Highlight the advantages of using a dynamic, real-time US-guided technique -Identify barriers to integrating the dynamic US guided PICC insertion technique into clinical practice -Discuss strategies to foster implementation of US-guided PICC placement in the neonatal setting

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Why is it important?

US-guided PICC insertion is a standard of care for pediatrics and adults, yet its use in the neonatal setting has not been integrated into practice. US-guided PICC placement is a safe and effective technique that improves patient health outcomes by fewer first-time/overall attempts, needle punctures, reduced complications i.e. infection and thrombosis, decreased procedure time/pain and lower cost. US guided PICC placement performed by a skilled, experienced clinician further improves outcomes and reduces the risk of complications.


A steep learning curve exists in ELBW neonates; extensive education, training, practice, and mentorship are required for clinical competency. Combining the VAT and NICU PICC team helps all members to acquire skills. Organizational support and resources are needed to facilitate integration of the dynamic, US-guided PICC insertion technique into neonatal practice.

Registered Vascular Access Nurse & Neonatal Intensive Care Nurse Pernilla Fridolfsson
CHOC Children's Hospital OC California

Read the Original

This page is a summary of: Ultrasound-Guided Peripherally Inserted Central Catheter Placement in Extremely Low Birth Weight Neonates, Neonatal Network The Journal of Neonatal Nursing, January 2022, Springer Publishing Company,
DOI: 10.1891/11-t-733.
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