Journal of Parenteral and Enteral Nutrition Volume XX Number X Month 201X 1 –6 © 2015 American Society for Parenteral and Enteral

jpen.sagepub.com hosted at online.sagepub.com Case Series Peripherally inserted central catheters (PICCs) are widely used in pediatric populations, and their use continues to grow in pop-ularity.1 In some institutions, PICCs are preferred to peripheral intravenous line placements. Reasons cited for preferred PICC use include a decreased number of painful procedures and nee-dle sticks, without a significant increase in the rate of sepsis.2 In many centers, PICCs are also preferred to surgical catheter placement (ie, cut-down procedures) because of their less inva-sive method of placement and the fact that they are more cost-effective.3 In addition, advances in image-guided placement (by ultrasounds or fluoroscopy) have improved the safety and effi