1.100738 Longlines in NICU (1)

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Longlines in NICU

Parent/Caregiver Information Neonatal Intensive Care Unit (NICU)

What is a longline? keep the longline as clean as possible, and to


A longline is another name for a Peripherally reduce the risk of infection.
Inserted Central Catheter. They are called
longlines, because unlike an IV, the catheter is
longer and is threaded all the way to the major
blood vessel, which sits just outside the heart.

Longline taping © Libby Foster

Why does a baby need a longline?


Babies in NICU commonly need longlines for a
variety of reasons.
 Baby has been born prematurely.
Common longline insertion sites  For nutrition and weight gain, Total
©Mountnittany.org Parenteral Nutrition (TPN) is delivered via
the longline. TPN is a sterile solution
Longlines are usually inserted into the leg or arm,
containing nutrients normally found in oral
however, sometimes if there is no other access,
feeds - protein, carbohydrate, water,
the longline may need to be inserted into the
vitamins, minerals and electrolytes. The
scalp. The doctor or nurse practitioner will ask
lipids, which run separately, provide fat and
your permission before inserting a longline into
vitamins. As your baby begins to tolerate
the scalp.
increasing volumes of oral feeds, the rate of
the TPN can be gradually reduced until the
The longline is inserted under sterile conditions
baby no longer needs it, and the longline can
(to help prevent infection) in NICU by a doctor or
be removed.
nurse practitioner. Once inserted, an x-ray
confirms placement of the longline before it is  If a baby needs surgery, which means that
used. The longline placement can be adjusted if he/she cannot have oral feeds for longer
required. The longline is then securely taped in than a few days, then a longline, is the best
position to prevent it becoming dislodged. If way to provide the nutrition needed.
there are no infection or mechanical concerns,  Longlines can also be used to administer
longlines can remain in position for weeks or medications.
even months. When changing the medications
and lines, nurses will use a sterile technique to (continued overleaf)

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[continued]

Can I still cuddle my baby?


You can still be involved with your baby’s cares,
and give him/her cuddles. The most important
thing is to always keep the line clean and free of
germs. Take care to keep the line, connection
points and tape from contamination with urine or
faeces from baby’s dirty nappies.

Potential complications
Complications are rare but your baby will be
watched closely. If you notice any swelling and
redness of the groin, abdomen, shoulder or chest,
as you are caring for your baby, please inform a
nurse.

CapDocs ID: 1.100738 | Issue date: April 2020 | Review date: April 2025 Page 2 of 2

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