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Repositioning techniques of malpositioned peripherally inserted central catheters
Author(s) -
Jin Jingfen,
Chen Chunfang,
Zhao Ruiyi,
Li Aiping,
Shentu Yingqing,
Jiang Nan
Publication year - 2013
Publication title -
journal of clinical nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.94
H-Index - 102
eISSN - 1365-2702
pISSN - 0962-1067
DOI - 10.1111/jocn.12004
Subject(s) - medicine , peripherally inserted central catheter , catheter , central venous catheter , subclavian vein , vein , surgery , axillary vein , thrombosis
Aims and objectives To describe potential repositioning techniques of malpositioned peripherally inserted central catheters. Background Various repositioning methods have been applied in clinical practice in managing malpositioned peripherally inserted central catheters, and many of them are proved effective. However, little publication reviewed on those literatures describing repositioning techniques to malpositioned peripherally inserted central catheters. Design Systematic review. The repositioning techniques were classified and concretely described according to different locations of malpositioned peripherally inserted central catheter tips. Methods Literature and relevant guidelines were reviewed, focusing on malpositioned locations and incidence, as well as repositioning skills to peripherally inserted central venous catheters. Six databases were searched, including MEDLINE , web of science, CINAHL , Cochrane library, Wanfang database and Chinese National Knowledge Infrastructure. The articles ( n = 21) were analysed using inductive content analysis. Results The malpositioned locations of postplacement peripherally inserted central catheter tips mainly include right atrium, right ventricular, axillary vein, ipsilateral and contralateral internal jugular vein, subclavian vein, brachiocephalic vein, other small venous branches or catheter looped. Repositioning techniques contained automatic reposition, manual repositioning techniques, re‐advancing catheters and catheters' replacement according to different malpositioned patterns. Conclusions The most appropriate repositioning techniques should be adopted on the basis of malpositioned locations, direction and length of the malpositioned tip, patients' integrated conditions and available medical equipments to maintain the catheter tip in the best position. Relevance to clinical practice The repositioning techniques described in this review can be applied in clinical practice to ensure the infusion therapy through peripherally inserted central catheter more economical and safe.