{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T22:10:07Z","timestamp":1790719807473,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,3]],"date-time":"2025-07-03T00:00:00Z","timestamp":1751500800000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This perspective review examines the evolving role of neonatal peripherally inserted central catheters (n\u2010PICCs) as a distinct subspecialty within neonatal vascular access. n\u2010PICCs are indispensable for delivering long\u2010term intravenous therapies in critically ill neonates. The review explores ethical considerations, equitable access to vascular access technologies and prioritisation of patient safety in procedural training. The implementation of specialised vascular access teams, rather than an all\u2010staff model, is advocated to enhance procedural success, reduce device\u2010related complications and promote a culture of accountability. Future directions include the development of smart catheter technologies, pseudo\u2010tunnelling techniques and simulation\u2010based education to advance and maintain clinical competency.<\/jats:p>","DOI":"10.1111\/nicc.70111","type":"journal-article","created":{"date-parts":[[2025,7,4]],"date-time":"2025-07-04T00:38:45Z","timestamp":1751589525000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The Modern Role of Neonatal\n                    <scp>PICCs<\/scp>\n                    Subspecialty"],"prefix":"10.1111","volume":"30","author":[{"given":"Matheus","family":"Van Rens","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit Radboud University Medical Center, Amalia Children's Hospital  Nijmegen the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Ostroff","sequence":"additional","affiliation":[{"name":"St. Joseph's Regional Medical Center  Paterson New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2627-4806","authenticated-orcid":false,"given":"Mohammad A. A.","family":"Bayoumi","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit, Women's Wellness and Research Center, Hamad Medical Corporation  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,3]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.980725"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000001182"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/adnc.2002.36826"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12963"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-022-03119-2"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e318278b907"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1129729818804718"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/11297298221098481"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-81602-4_6"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1395395"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/19345798251318585"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.843147"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000038813"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000963"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2022.31.8.S4"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2016.04.003"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011197"},{"key":"e_1_2_11_19_1","first-page":"184","volume-title":"Vascular Access in Neonatal Nursing Practice: A Neuroprotective Approach","author":"Rens M. 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