Cateterismo venoso central de inserción periférica en recién nacidos de cuidado intensivo

objective: to evaluate the use of peripherically-inserted central venous catheter (picc) in newborns of intensive care units. patients and methods: 46 catheters inserted in 40 neonates were evaluated prospectively analyzing 4 variables: number of venipuncture attempts, time of installation, reasons for removal and complications. results: 49% were settled in the first attempt and 69,5% in antecubital veins, locating 63% in superior vena cava. the mean venipuncture attempts was 2,1, being significantly lower in low birth weight neonates (< 1 500 g = 1,7 ± 1,1; > 1 500 g = 2,5 ± 1,5; p = 0,045). the average time of installation was 20 minutes for very low birth weight newborns and 25 for the greater ones. the duration period was similar. 50% were retired by the end of intravenous therapy, 19,6% due to occlusion and 8,7% because of phlebitis. conclusions: picc constitute a first line alternative for very low birth weight newborns where installation is easier, being a safe and effective intervention