Van Rens Matheus, Ostroff Matthew, Bayoumi Mohammad A A
Neonatal Intensive Care Unit, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, the Netherlands.
St. Joseph's Regional Medical Center, Paterson, New Jersey, USA.
Nurs Crit Care. 2025 Jul;30(4):e70111. doi: 10.1111/nicc.70111.
This perspective review examines the evolving role of neonatal peripherally inserted central catheters (n-PICCs) as a distinct subspecialty within neonatal vascular access. n-PICCs are indispensable for delivering long-term intravenous therapies in critically ill neonates. The review explores ethical considerations, equitable access to vascular access technologies and prioritisation of patient safety in procedural training. The implementation of specialised vascular access teams, rather than an all-staff model, is advocated to enhance procedural success, reduce device-related complications and promote a culture of accountability. Future directions include the development of smart catheter technologies, pseudo-tunnelling techniques and simulation-based education to advance and maintain clinical competency.
这篇观点性综述探讨了新生儿外周静脉穿刺中心静脉导管（n-PICC）作为新生儿血管通路中一个独特亚专业的不断演变的作用。n-PICC对于为危重新生儿提供长期静脉治疗不可或缺。该综述探讨了伦理考量、血管通路技术的公平可及性以及程序培训中患者安全的优先性。提倡组建专门的血管通路团队，而非全员模式，以提高操作成功率、减少与设备相关的并发症并促进问责文化。未来的发展方向包括智能导管技术、假隧道技术的开发以及基于模拟的教育，以提升和维持临床能力。
