Learning from neonatal clinical incidents: a rare complication of lower limb PICC insertion

There have been two recent cases in Scotland where malpositioned peripherally inserted central catheters (PICCs) have resulted in extravasation of parenteral nutrition and lipid into the cerebrospinal fluid (CSF) with significant neurological sequelae for the infants involved. The purpose of this article is to highlight learning points from the incidents to those providing day-to-day care for babies.

Laura McGlone
Joyce O’Shea
Claire Granger

On behalf of the Greater Glasgow and Clyde Neonatal Governance Group, laura.mcglone@ggc.scot.nhs.uk