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• W4383534683 abstract "Infants are the future capital of human society. Therefore, it is very important to pay attention to this group1. According to the results of various studies, birth weight is one of the most important factors determining the survival of the infant’s physical and mental development, and it is a valid sign of intrauterine growth2. Because preterm infants, especially low birth weight infants and extremely low birth weight infants, are among the groups that stay longer in the neonatal intensive care unit, and with increasing length of hospital stay, repeated attempts cause discomfort and pain to infants with intravenous cannulae or other invasive procedures to gain access to peripheral veins, the integrity of the infant’s delicate skin, which is the body’s first line of defense against infection, is disrupted and infants are exposed to more harm2,3. In addition, frequent attempts to establish peripheral venous access expose the infant to the risk of further injury. Considering the long length of stay of preterm infants in the neonatal intensive care unit and the poor stability of peripheral venous access, another means of venous access is needed4. Indeed, venous access is an important dimension of treatment in neonates5. The peripheral central catheter (PICC) is a long, thin catheter made of soft, flexible silicone or polyurethane6. PICCs are usually inserted into large peripheral veins (to deliver drugs and nutrients over a long period of time, because a large vein can tolerate a IV catheter longer than a small vein) of the arm, such as the cephalic vein or the basilic vein near the elbow, and guided toward the superior vena cava (Fig. 1)5. Since the most appropriate and convenient place for vascular access to insert the PICC is the basal and cephalic veins in the right arm of the infant, so it is recommended that infants who are preterm and may be hospitalized for a long time save the right arm. In fact, in these infants blood sampling or access to blood vessels should not be performed using intravenous cannula in their right arm as cephalic or basal vein may be damaged and may not be used for PICC insertion.Figure 1: The basilic and cephalic veins in the mid-arm.Ethical approval None. Sources of funding None. Author contributions R.G., B.C.A., M.P.T.A.: reviewed the literature and wrote the manuscript. A.D. and A.J.: supervised the writing process and revised the manuscript. Conflicts of interest disclosures The authors declare that they have no financial conflict of interest with regard to the content of this report. Research registration unique identifying number (UIN) None. Guarantor Rasoul Goli. Provenance and peer review Not commissioned, externally peer-reviewed." @default.
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• W4383534683 date "2023-07-01" @default.
• W4383534683 modified "2023-09-25" @default.
• W4383534683 title "Saving the right arm to place the peripherally inserted central catheter (PICC) in premature infants" @default.
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• W4383534683 doi "https://doi.org/10.1097/gh9.0000000000000190" @default.
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