Maneuvers to Facilitate Central Venous Catheter Advancement in the Clavicular Region: An Integrative Review

In many situations, central venous catheters (CVCs), inserted by central or peripheral venipuncture, do not progress, even after performing some movement of the shoulder, head, and neck. This integrative review aimed to verify the scientific evidence about maneuvers to facilitate the advancement of CVCs in the clavicular region and/or shoulder in adult, pediatric, and neonatal patients. Primary studies with available electronic abstracts, independent of idiom or publication year, for which results showed aspects related to descriptions of maneuvers for CVC advancement in the clavicular region and shoulder, were included in the review. The sample included 6 studies published from 1989 to 2020 in CINAHL, Cochrane, Lilacs, Medline/PubMed, SCIELO, and Scopus databases. Maneuvers of the shoulder, arm, neck, and head facilitate CVC advancement in the shoulder and clavicular region. However, most of the studies analyzed were performed in adults. More research is needed on CVC advancement in pediatric and neonatal populations.