"Cuff-stitch" to prevent inadvertent dislodgement of central venous catheters.
The insertion of central venous catheters (CVCs) is an established practice in the management of children who need long-term total parenteral nutrition or chemotherapy. Inadvertent falling out of CVCs before the cuff becomes incorporated in the tissues is a commonly encountered problem. The technique described involves inserting a circular stitch in the subcutaneous plane before the catheter is placed. Once the CVC is pulled into position, the "cuff-stitch" lays around the catheter distal to the cuff, narrows the tunnel, and prevents accidental dislodgement.
Babu
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Department of Paediatric Surgery, Bristol Royal Children's Hospital, Bristol, BS2 8BJ, UK.
Spicer
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D002405:Catheterization, Central Venous; D002648:Child; D004868:Equipment Failure; D006801:Humans; D013537:Sutures