Tip 58: long line tip position

Long line tips should ideally lie in the SVC or the IVC, though occasionally may be sufficient in the subclavian or femoral veins if access is difficult.

The tip must not lie within the heart due to the risk of pericardial extravasation and tamponade and any line tip within the cardiac shadow should be pulled back and a repeat X-ray performed to confirm its position.

References:  

Menon, G. ‘Neonatal Long lines’ Arch Dis Child Fetal Neonatal Ed. 2003; 88: F260-F262.

Pilling, E., Washbourne, L. Long line – indications, insertion, accessing, care of. North Trent Neonatal Network Guideline November 2011.

First published: 03/03/14

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