Öz

Objective: Vascular access is a critical factor in the monitoring and treatment of neonates requiring intensive care. In this context, peripherally inserted central catheters (PICCs) are one of the primary methods for safely and for extended periods in neonates, compared to traditional central vascular access routes. This study aimed to evaluate the indications and complications of PICC placement and to raise awareness of the development and implementation of protocols to prevent complications.

Materials and Methods: In this study, after obtaining approval from the Ethics Committee, the indications, compositions, and clinical outcomes of patients born at Mersin City and Education Hospital between 01.01.2024-01.10.2025, weighing ≤1500 g and those who had peripheral central catheters left in place, were evaluated retrospectively.

Results: A total of 89 patients were included in the study. Forty-nine cases were male (44.9 %). Forty-nine of the cases were 28 weeks of gestation or less. Thirty-three cases were inserted due to prematurity, forty-two due to feeding difficulties, and three due to pre/post-operative complications. The median PICC placement day was 5 d (4-12.5), and the median weight was 1020 g (780-1310). Nineteen cases developed complications related to PICCs. Among the complications, phlebitis was the most common (47.4%). Four patients required catheter removal due to infection. Nine patients (10.1%) died. Eighty patients (89.9%) were discharged after recovery.

Conclusion: Peripherally inserted central catheters  play a crucial role in neonatal intensive care by providing reliable, long-term venous access in neonates. When used with appropriate indications, strict aseptic technique, and standardized care protocols, they provide a healthy and safe vascular pathway for newborns with low complication and infection rates. A specialized team approach, guided by protocols, can enhance the quality of care in the neonatal intensive care unit.

Kaynakça

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Nasıl atıf yapılır

1.
Durukan Tosun M, Aldas S, Yıldız ES, Simsek H, Akcali M, Yildirim M, et al. Experience with peripherally inserted central catheters in very low birth weight neonates: Indications, complications, and clinical outcomes. Turk J Pediatr Dis. 2026;Early View:1-5. https://doi.org/10.12956/TJPD.2026.1320