Home Parenteral Nutrition: Vascular Access and Related Complications. (December 2017)

• Record Type: Journal Article
• Authors: Dibb, Martyn; Lal, Simon
• Is Part Of: Nutrition in clinical practice. Volume 32:Number 6(2017:Dec.)
• Page Start: 769
• Page End: 776
• Publication Date: 2017-12
• Subjects: home nutrition support -- parenteral nutrition -- nutritional support -- vascular access devices -- home care services -- central venous catheters -- catheter-related infections; Nutrition -- Periodicals; Diet therapy -- Periodicals; Artificial feeding -- Periodicals; 615.854
• DOI: 10.1177/0884533617734788
• Languages: English
• ISSNs: 0884-5336

Abstract

Patients with chronic intestinal failure are dependent on parenteral nutrition (PN) to maintain health and preserve life. Maintaining safe vascular access is vital to prevent life-threatening complications such as catheter-related bloodstream infection or central venous occlusion. Dedicated central venous catheters with rigorous catheter care aseptic protocols are vital in obtaining good long-term outcomes that allow continuation of PN over many years. Good catheter care requires an experienced multidisciplinary team using appropriate vascular devices, trained to identify and aggressively treat catheter-related bloodstream infections, catheter occlusions, and catheter-related thrombosis. Consideration must also be given to evolving strategies to prevent recurrent infections, including prophylactic central venous catheter locks.