| | Changes in Upper Extremity Position Cause Migration of Peripherally Inserted Central Catheters in Neonates -- Nadroo et ... |
 | | Group 1, adduction of the arm with fixed elbow position; group 2, flexion of the elbow with fixed shoulder position; group 3A, adduction of the arm and simultaneous flexion of the elbow; group 3B, adduction of the arm and simultaneous extension of the elbow. |
 | | Catheter placed in basilic vein; maximum inward displacement of the tip caused by simultaneous shoulder adduction and elbow flexion from A to B. Table 1 summarizes the direction of the movements of the catheter |
 | | A, Tip looped into the neck; B, movement of the tip to the medial end of the clavicle with abduction of arm and extension of elbow; C, reposition to junction of superior vena cava and subclavian vein with shoulder adduction and elbow flexion. |
| pediatrics.aappublications.org /cgi/content/full/110/1/131 (3184 words) |