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peripherally inserted central catheter, PICC, PICC dressing, dressing change, dressing material, sterile barrier, chlorhexidine, catheter securement, neonatal



  1. Sharpe, Elizabeth L. ARNP, MSN, NNP-BC


Advances in neonatology now support the survival of the tiniest of infants. The peripherally inserted central catheter (PICC) has now become an integral part of routine practice in neonatal intensive care units around the world. Keen attention to safe maintenance of these devices is essential. A properly applied and maintained PICC dressing is the first line of defense to minimize the risk of complications such as dislodgement, migration, and infection. This article describes a neonatal PICC dressing change and discusses the frequently encountered quandaries surrounding this important procedure, including dressing materials, frequency, site preparation, barrier precautions, and other relevant concerns.