A 68-year-old man on ICU has a central venous catheter. The team wishes to use it for total parenteral nutrition. The catheter tip position is confirm...

Question

A 68-year-old man on ICU has a central venous catheter. The team wishes to use it for total parenteral nutrition. The catheter tip position is confirmed at the junction of the SVC and right atrium on CXR. According to NICE guidelines, is this position acceptable?

Accepted Answer

Yes - the ideal CVC tip position for TPN is at the SVC-right atrial junction (cavo-atrial junction), confirmed by CXR or other imaging

Answer

No - the catheter tip must be in the subclavian vein

Answer

No - the tip is too far advanced and should be withdrawn

Answer

TPN can be given through any peripheral cannula

Answer

CXR confirmation is not required

uk-fficm MCQ (SBA): CVC Tip Position

A 68-year-old man on ICU has a central venous catheter. The team wishes to use it for total parenteral nutrition. The catheter tip position is confirmed at the junction of the SVC and right atrium on CXR. According to NICE guidelines, is this position acceptable?