A Seldinger Technique for the Insertion of Tunneled Fixed‐Hub Total Parenteral Nutrition Catheters

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Abstract
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)