PICC catheter or UVC

[Guest danielirra]

what do you think ? In our unit ,We are beginning to use PICC ( but we do not have much experience yet ) and want to make a protocol to treat the infant of the diabetic mother. Do you use umbilical via (probably will not for long) or PICC (course if required). Thanks in advance

[Stefan Johansson]

We try to restrict the nb of days with UVC as much as possible, and switch over to a PICC if we believe an infant will need parenteral fluids for more than a just a few days.

Infants to diabetic mothers are usually cared with regular peripheral vein catheters.

Here's a reference about complications with all catheter types.

http://www.ncbi.nlm.nih.gov/pubmed/15777826

[salameh101]

I think the picc line should be insertd as soon as posible for any baby who will not be on full oral feedin for 7-10 day,s because you need a good perepheral vein befor all good perepheral vein used .

This what we do in our unit.

[kpsanghvi]

Is there a study anyone knows which has conclusively proven that the incidence of complications is higher with UVC as compared to PICC. If not then why are we in a hurry to remove the UVC.

IF you use an UVC then what is the longest duration would you keep it.

[Guest]

If it is a high UVC (at T10 level), we have kept it for three weeks without any complications.

V.Baichoo

Consultant Neonatologist

Corniche Hospital

U.A.E.