Effectiveness of techniques for repositioning peripherally inserted central catheters in newborns

Objective: To evaluate the effectiveness of techniques for repositioning peripheral insertion central catheters in newborns. Method: A quasi-experimental study was conducted in a Neonatal Intensive Care Unit at a hospital in southern Brazil between June and September 2023, involving 32 catheters. Combined repositioning techniques were applied, depending on the location of the catheter: traction, elevation of the decubitus position, rapid infusion of saline solution, movement of the upper limbs, and neck. Descriptive analysis was used. The technique was effective when the catheter moved to the cavoatrial junction. Results: Intracardiac and contralateral subclavian catheter positions were predominant. In 24 cases, the techniques were effective on the first attempt at repositioning; in six cases, the catheters migrated to the cavoatrial junction after the second maneuver; and in two cases, the techniques were not effective. Conclusion: Catheters with tips in large vessels were successfully repositioned; for those that were angulated or coiled in smaller veins, the maneuvers were less effective.