Abstract A method is described whereby a silicone elastomer catheter may be introduced into the subclavian vein and then tunnelled retrograde to a remote site. The advantages of this technique are discussed. Keywordsanaesthetic techniques: subclavian catheterequipment: cathetersvenousintensive care: parenteral nutritionReferences1. King C.Y. Percutaneous infraclavicular subclavian venipuncture. Int Surg 1971; 55: 441–447.2. Defalque R.J. , Campbell C. Cardiac tamponade from central venous catheters. Anaesthesiology 1979; 50: 249–252.3. Heimbach D.M. , Ivey T.D. Technique for placement of a permanent home hyperalimentation catheter. Surg Gynaecol Obstet 1976; 143: 634–636.