Peripherally inserted central catheter extravasation of fluid in a neonate: A dreadful complication

A peripherally inserted central catheter (PICC) is of utmost importance in the management of critically ill neonates for the administration of nutrition and medication. It can cause complications including displacement, perforation, infection, occlusion, extravasation and breakage causing morbidity and mortality if not recognised and managed in time. Here, we report an interesting case of catecholamine-resistant shock in an extreme preterm neonate due to displacement of the PICC and causing perforation of the vein with extravasation of total parenteral nutrition fluid. Early recognition and management led to his survival. He is on full enteral feeds with no morbidity at discharge.