Abstract
The use of Peripherally Inserted Central Catheters (PICCs) in pediatric patients is not new. Since many years, these catheters have been used to deliver intravenous therapy, especially when required for prolonged periods. Their use began first in Pediatric Intensive Care Units (PICU) and in oncological wards but, in the recent years, with the introduction of new materials and techniques, PICCs have been widely adopted as first-option central venous access for both hospitalized children and for children on homecare therapy.
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Cellini M, Bergadano A, Crocoli A, Badino C, Carraro F, Sidro L, Botta D, Pancaldi A, Rossetti F, Pitta F, Cesaro S. Guidelines of the Italian Association of Pediatric Hematology and Oncology for the management of the central venous access devices in pediatric patients with onco-hematological disease. J Vasc Access. 2020;10:1129729820969309. https://doi.org/10.1177/1129729820969309.
Chiaretti A, Pittiruti M, Sassudelli G, Conti G, Rossi M, Pulitanò SM, Mancino A, Pusateri A, Gatto A, Tosi F. Comparison between sedation room and operating room in central venous catheter positioning in children. J Vasc Access. 2021;22(2):184–8. https://doi.org/10.1177/1129729820932415.
Crocoli A, Cesaro S, Cellini M, Rossetti F, Sidro L, Pinelli F, Pittiruti M. In defense of the use of peripherally inserted central catheters in pediatric patients. J Vasc Access. 2021;22(3):333–6. https://doi.org/10.1177/1129729820936411.
Crocoli A, Martucci C, Sidro L, Delle Donne D, Menna G, Pittiruti M, De Pasquale MD, Strocchio L, Natali GL, Inserra A. Safety and effectiveness of subcutaneously anchored securement for tunneled central catheters in oncological pediatric patients: a retrospective study. J Vasc Access. 2021;4:11297298211009364. https://doi.org/10.1177/11297298211009364.
Crocoli A, Tornesello A, Pittiruti M, Barone A, Muggeo P, Inserra A, Molinari AC, Grillenzoni V, Durante V, Cicalese MP, Zanazzo GA, Cesaro S. Central venous access devices in pediatric malignancies: a position paper of Italian Association of Pediatric Hematology and Oncology. J Vasc Access. 2015;16(2):130–6. https://doi.org/10.5301/jva.5000314.
Galloway S, Bodenham A. Long-term central venous access. Br J Anaesth. 2004;92:722–34.
Gorski L, Hadaway L, Hagle M, et al. Infusion therapy standards of practice. J Infus Nurs. 2021;44(1S Suppl 1):S1–S224.
Iacobone E, Elisei D, Gattari D, Carbone L, Capozzoli G. Transthoracic echocardiography as bedside technique to verify tip location of central venous catheters in patients with atrial arrhythmia. J Vasc Access. 2020;21(6):861–7. https://doi.org/10.1177/1129729820905200.
Lamperti M, Biasucci DG, Disma N, Pittiruti M, Breschan C, Vailati D, Subert M, Traškaitė V, Macas A, Estebe JP, Fuzier R, Boselli E, Hopkins P. European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access). Eur J Anaesthesiol. 2020;37(5):344–76. https://doi.org/10.1097/EJA.0000000000001180. Erratum in: Eur J Anaesthesiol. 2020;37(7):623
Nifong TP, McDevitt TJ. The effect of catheter to vein ratio on blood flow rates in a simulated model of peripherally inserted central venous catheters. Chest. 2011;140:48–53.
Ostroff MD, Moureau N, Pittiruti M. Rapid assessment of vascular exit site and tunneling options (RAVESTO): a new decision tool in the management of the complex vascular access patients. J Vasc Access. 2021;21:11297298211034306. https://doi.org/10.1177/11297298211034306.
Pinelli F, Pittiruti M, Van Boxtel T, Barone G, Biffi R, Capozzoli G, Crocoli A, Elli S, Elisei D, Fabiani A, Garrino C, Graziano U, Montagnani L, Prato AP, Scoppettuolo G, Zadra N, Zanaboni C, Zerla P, Konstantinou E, Jones M, Rosay H, Simcock L, Stas M, Pepe G. GAVeCeLT-WoCoVA consensus on subcutaneously anchored securement devices for the securement of venous catheters: current evidence and recommendations for future research. J Vasc Access. 2020;2:1129729820924568. https://doi.org/10.1177/1129729820924568.
Pittiruti M, Lamperti M. Late cardiac tamponade in adults secondary to tip position in the right atrium: an urban legend? A systematic review of the literature. J Cardiothorac Vasc Anesth. 2015;29:491–5.
Pittiruti M, Pelagatti F, Pinelli F. Intracavitary electrocardiography for tip location during central venous catheterization: a narrative review of 70 years of clinical studies. J Vasc Access. 2020;24:1129729820929835. https://doi.org/10.1177/1129729820929835.
Rossetti F, Pittiruti M, Lamperti M, et al. The intracavitary ECG method for positioning the tip of central venous access devices in pediatric patients: results of an Italian multicenter study. J Vasc Access. 2015;16:137–43.
Vezzani A, Brusasco C, Palermo S, et al. Ultrasound localization of central vein catheter and detection of postprocedural pneumothorax: an alternative to chest radiography. Crit Care Med. 2010;38:533–8.
Zito Marinosci G, Biasucci DG, Barone G, D’Andrea V, Elisei D, Iacobone E, La Greca A, Pittiruti M. ECHOTIP-Ped: a structured protocol for ultrasound-based tip navigation and tip location during placement of central venous access devices in pediatric patients. J Vasc Access. 2021;13:11297298211031391. https://doi.org/10.1177/11297298211031391.
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Lamperti, M., Pittiruti, M. (2022). Peripherally Inserted Central Catheters (PICC) in Children. In: Biasucci, D.G., Disma, N.M., Pittiruti, M. (eds) Vascular Access in Neonates and Children. Springer, Cham. https://doi.org/10.1007/978-3-030-94709-5_14
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