- It is usually recommended that the CVC tip should lie in the SVC 2 above the pericardial reflection 2
- Close to the RV for dilution of infused substances
- Avoids catastrophic pericardial bleeding and tamponade if tip perforates the vessel wall
- Catheter tip should lie in the long axis of the SVC 1 without acute abutment to the vein wall:
- Angle of the CVC tip to vessel wall of greater than 40° is more likely to lead to vessel wall perforation
- May necessitate L sided lines being placed below pericardial reflection to ensure they run parallel with the SVC
