Nursing Practices Related to Peripherally Inserted Central Catheters in the Neonatal Intensive Care Unit: Scoping Review.

OBJECTIVE

This study aimed to explore the nursing practices related to peripherally inserted central catheters (PICCs) in the neonatal intensive care unit (NICU).

METHODS

This scoping review was guided by a PCC framework (Population-Newborns, Concept-Peripherally Inserted Central Catheters, Context-NICU). The database selection included Embase, CENTRAL, PubMed, Scopus, Web of Science, CINAHL, and MEDLINE. The Covidence platform was used to facilitate the review process.

RESULTS

Twenty-seven studies were included, which were published between 2008 and 2024 in countries around the world. The findings highlight the critical role of ultrasound in enhancing the accuracy of PICC placements and reducing associated complications. Additionally, the review identifies practices aimed at minimizing infection risks, such as standardized protocols and aseptic techniques, as well as strategies addressing pain management and hypothermia prevention during PICC insertion. Innovative approaches, including novel catheter measurement methods and insertion techniques, were also explored.

CONCLUSION

These topics provide a comprehensive overview of current practices and emerging advancements in PICCs, emphasizing efforts to enhance safety and outcomes for NICU patients. By identifying current practices, challenges, and knowledge gaps, this review aims to inform clinical guidelines, promote evidence-based care, and guide future research in neonatal nursing.