Tip 58: long line tip position

Long line tips should ideally lie in the SVC or the IVC.

If access is difficult, tip position in the subclavian or femoral veins may be sufficient but have a greater risk of extravasation.

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.

Reference:  BAPM (2015). Use of Central Venous Catheters in Neonates: A Framework for Practice.

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