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A Seldinger Technique for the Insertion of Tunneled Fixed‐Hub Total Parenteral Nutrition Catheters
Author(s) -
Farquhar Iain
Publication year - 1987
Publication title -
journal of parenteral and enteral nutrition
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.935
H-Index - 98
eISSN - 1941-2444
pISSN - 0148-6071
DOI - 10.1177/0148607187011006590
Subject(s) - parenteral nutrition , catheter , medicine , sepsis , surgery , seldinger technique , enteral administration
Total parenteral nutrition lines are commonly tunneled subcutaneously to decrease rates of sepsis. The history of line tunneling is discussed briefly, noting that to date a surgical approach, a detachable hub catheter or more recently a tunneling rod and ‘peel away’ introducer have been necessary for this form of central venous access. These systems have problems associated with cost, catheter type and insertion technique. A simple technique for insertion of tunneled total parenteral nutrition catheters is described. The device used consists of a polyurethane catheter with a fixed‐hub. The applications of this approach are discussed. (Journal of Parenteral and Enteral Nutrition 11: 590–593, 1987)