Summary of the best evidence for ultrasound-guided placement and tip confirmation of peripherally inserted central catheter in neonates
10.3760/cma.j.cn115682-20240910-05035
- VernacularTitle:新生儿经外周静脉置入中心静脉导管超声引导置管及尖端定位的最佳证据总结
- Author:
Chenpeng XIE
1
;
Lin SHU
;
Manjie GUO
;
Li HE
;
Jingyu CHANG
;
Xiaoxia WU
Author Information
1. 中南大学湘雅三医院护理部，长沙 410013
- Publication Type:Journal Article
- Keywords:
Neonate;
Peripherally inserted central catheter;
Ultrasound-guided;
Tip confirmation;
Summary of evidence
- From:
Chinese Journal of Modern Nursing
2025;31(17):2262-2269
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and summarize the best evidence on ultrasound-guided placement and tip confirmation of peripherally inserted central catheter (PICC) in neonates.Methods:Based on the "6S" evidence pyramid model, literature on ultrasound-guided placement and tip confirmation of PICC in neonates was sequentially searched on guideline websites, professional society websites, and journal databases. The search period was from database establishment to September 30, 2024. Two researchers used uniform criteria for independent quality assessment and evidence extraction from the literature, and the extracted evidence was integrated and summarized.Results:A total of ten articles were included, including five guidelines, one clinical decision, two expert consensus, one Meta-analysis, and one evidence summary. Thirty pieces of evidence were developed in six aspects: personnel qualification and training, catheter selection, assessment of placement veins, ultrasound-guided PICC puncture in neonates, PICC tip confirmation in neonates, and prevention and management of malposition.Conclusions:This study summarizes the best evidence for ultrasound-guided placement and tip confirmation of PICC in neonates. It is recommended that evidence be selected and applied to develop a standardized process for neonatal PICC placement in conjunction with the resource environment of the department and the skill level of the healthcare professionals to improve the quality of nursing and to ensure the safe and effective use of the PICC in clinical practice.
