ESPEN guideline on home parenteral nutrition. Issue 6 (June 2020)

• Record Type: Journal Article
• Authors: Pironi, Loris; Boeykens, Kurt; Bozzetti, Federico; Joly, Francisca; Klek, Stanislaw; Lal, Simon; Lichota, Marek; Mühlebach, Stefan; Van Gossum, Andre; Wanten, Geert; Wheatley, Carolyn; Bischoff, Stephan C.
• Is Part Of: Clinical nutrition. Volume 39:Issue 6(2020)
• Page Start: 1645
• Page End: 1666
• Publication Date: 2020-06
• Subjects: Central venous access device -- Home parenteral nutrition -- Intestinal failure -- Multidisciplinary team -- Parenteral nutrition admixture -- Patient training; AIO all-in-one parenteral nutrition admixture -- CDC Centers for Disease Control and Prevention -- CIF chronic intestinal failure -- CRBSI catheter-related bloodstream infection -- CVAD central venous access device -- CVC central venous catheter -- EN enteral nutrition -- HPN home parenteral nutrition -- IF intestinal failure -- NST nutrition support team -- PICC peripherally inserted central venous catheter -- PN parenteral nutrition -- QoL quality of life -- RCT randomized controlled trial; Critically ill -- Nutrition -- Periodicals; Diet therapy -- Periodicals; Parenteral feeding -- Periodicals; Enteral feeding -- Periodicals; Enteral Nutrition -- Periodicals; Parenteral Nutrition -- Periodicals; Metabolism -- Periodicals; Diétothérapie -- Périodiques; Alimentation parentérale -- Périodiques; Alimentation entérale -- Périodiques; Nutrition -- Périodiques; Diet therapy; Enteral feeding; Nutrition; Parenteral feeding; Electronic journals; Periodicals; Electronic journals; 615.854
• DOI: 10.1016/j.clnu.2020.03.005
• Languages: English
• ISSNs: 0261-5614

Abstract

Summary: This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home parenteral nutrition (HPN) providers, as well as healthcare administrators and policy makers, about appropriate and safe HPN provision. This guideline will also inform patients requiring HPN. The guideline is based on previous published guidelines and provides an update of current evidence and expert opinion; it consists of 71 recommendations that address the indications for HPN, central venous access device (CVAD) and infusion pump, infusion line and CVAD site care, nutritional admixtures, program monitoring and management. Meta-analyses, systematic reviews and single clinical trials based on clinical questions were searched according to the PICO format. The evidence was evaluated and used to develop clinical recommendations implementing Scottish Intercollegiate Guidelines Network methodology. The guideline was commissioned and financially supported by ESPEN and members of the guideline group were selected by ESPEN.