"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 nutritio n or chemotherapy. Inadvertent falling out of CVCs before the cuff becomes incorporated in the tissues is a commonly encountered problem. The techniqu e described involves inserting a circular stitch in the subcutaneous plane before the catheter is placed. Once the CVC is pulled into position, the "c uff-stitch" lays around the catheter distal to the cuff, narrows the tunnel , and prevents accidental dislodgement.