Inserting central lines via the peripheral circulation in neonates

2020 ◽  
Vol 29 (19) ◽  
pp. S12-S18
Author(s):  
Kevin Hugill ◽  
Matheus van Rens

Peripherally inserted central catheters (PICCs) are extensively used in neonatal intensive and high-dependency care settings. These intravenous catheters provide medium to longer-term access to the circulatory system for the delivery of medications, parenteral nutrition and the like. Catheters are available in a variety of bespoke designs and materials, each with their unique characteristics, benefits and limitations. PICCs are frequently inserted in a sterile zone cot-side procedure, one that requires an advanced knowledge base, technical skill and training. This article relates some important practical advice around managing minor complications that can be encountered while using the modified Seldinger technique (MST) to insert neonatal PICCs, which can make this procedure a less stressful experience for both infants and health professionals.

Critical Care ◽  
2013 ◽  
Vol 17 (2) ◽  
pp. R60 ◽  
Author(s):  
Martin J Llewelyn ◽  
Mario Berger ◽  
Mark Gregory ◽  
Ravi Ramaiah ◽  
Amanda L Taylor ◽  
...  

2013 ◽  
Vol 749 ◽  
pp. 258-261
Author(s):  
Yan Chun Zhu ◽  
Jun Chang ◽  
Zhi Gang Sheng

In this paper the issue of respiratory complications following acute spinal cord injury with reference to the area of high dependency care is considered. It will deal with the pathophysiology behind acute spinal cord injury and its effect on the respiratory system, while discussing the interventions used to prevent these complications. A multitude of therapeutic interventions in the care of respiratory complications has been identified. And positioning, chest physiotherapy and assisted coughing techniques will be considered in this paper.


2002 ◽  
Vol 12 (2) ◽  
pp. 126-133
Author(s):  
Neil Maredia ◽  
Diane Green ◽  
Heather Jayasekera ◽  
Hilary Robinson ◽  
Anne Jones ◽  
...  

2011 ◽  
Vol 96 (Supplement 1) ◽  
pp. Fa86-Fa86 ◽  
Author(s):  
R. Rajagopal ◽  
A. Naz ◽  
J. Gibson ◽  
J. Roberts ◽  
I. Davidson

2002 ◽  
Vol 171 (4) ◽  
pp. 211-215
Author(s):  
J. P. R. Loughrey ◽  
G. Fitzpatrick ◽  
J. Connolly ◽  
M. Donnelly

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