What should be done if the UAC/UVC is malpositioned?

When dealing with a malpositioned Umbilical Artery Catheter (UAC) or Umbilical Vein Catheter (UVC), the appropriate action is to pull it out but refrain from advancing it unless sterile conditions are ensured. This approach is crucial for several reasons.

First, if a catheter is malpositioned, advancing it could worsen the situation, potentially causing unintended harm to the neonate, such as perforation or damage to surrounding tissues. Pulling out the catheter ensures that any misplaced points are addressed without exacerbating the issue.

Moreover, maintaining sterile conditions is vital in any clinical procedure involving catheters to prevent introducing infections. If there is any uncertainty about the position or whether it is appropriately placed, confirmation and verification by a more experienced professional or supervisor may also be warranted before proceeding. However, simply leaving a malpositioned catheter in place is not a safe option, as it could lead to complications for the infant. Thus, pulling it out while ensuring sterile technique for a new placement is the best practice in this situation.