Attempt to have catheter spontaneously migrate to the pulmonary artery position. Have patient cough or suction them. Reposition the patient 3. A sudden intense rise in intrathoracic pressure may force the catheter to migrate with blood flow. A change in the patient's position may facilitate movement into the pulmonary artery.
Ensure balloon is deflated.
Withdrawal of catheter with inflated balloon could cause injury to the tricuspid valve. When the tip is withdrawn to the right atrium, any proximal infusions will back up into the sleeve. The patient may be without important infusions, therefore, critical infusions should be connected to the introducer until the catheter is repositioned. Carefully withdraw catheter while continuously monitoring the distal waveform. Withdraw until a right atrial tracing appears.