A new method for the prevention of accidental dislodgment of long-term venous catheters involves the use of an exit site purse-string suture that holds the catheter cuff in place before the ingrowth of fibrous tissue. This method is safe, reliable, easily reproduced, and does not require any additional incisions or anchoring devices. In our clinical practice, it has drastically reduced the number of accidental dislodgments. (Journal of Parenteral and Enteral Nutrition17:583-584, 1993)
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References
1.
Wheeler RA, Griffiths DM, Burge DM: Retrograde tunnel: A method for the fixation of long-term pediatric central venous catheters. JPEN15:114-115, 1991
Goolishian W. , Konefal S.: An alternative method of securing Broviac catheters in children and infants. JPEN13:218-219, 1989
4.
Powers ML, Myers RB, Bryant R., et al: A clinical report on the comparison of a drain/tube attachment device with conventional suture methods in securing percutaneous tubes and drains. J Enterostomal Ther15:206-209, 1988
5.
Decker MD, Edwards KM: Central venous catheter infections. Pediatr Clin North Am35:579-612,1988
6.
Abrahm JL, Mullen JL: A prospective study of prolonged central venous access in leukemia . JAMA248:2868-2873, 1982
7.
Raaf JH: Results from use of 826 vascular access devices in cancer patients . Cancer55:1312-1321, 198