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Challenges with Peripherally Inserted Central Catheter Migration in Neonates

Ceyda Acun

The use of peripherally inserted central catheter in neonatal intensive care unit is a common practice, but it is associated with various complications. Catheter migration is the most common complication in neonates. The incidence of PICC migration in neonates ranges from 8% to 33%. The majority of the PICC migration is seen in first 3 days after PICC placement. Periodic imaging is strongly recommended to monitor the PICC tip position. X-Ray is still the standard method for evaluation of the PICC tip position, but supportive evidence of point of care ultrasound is increasing.