Transcription of ESPEN Guidelines on Parenteral Nutrition: Central Venous ...
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ESPEN Guidelines on Parenteral Nutrition: Central Venous ...
ESPEN Guidelines on Parenteral Nutrition: Central Venous Catheters(access, care, diagnosis and therapy of complications)Mauro Pittirutia, Helen Hamiltonb, Roberto Biffic, John MacFied, Marek PertkiewiczeaCatholic University Hospital, Roma, ItalybJohn Radcliffe Infirmary, Oxford, United KingdomcDivision of Abdomino-Pelvic Surgery, European Institute of Oncology, Milano, ItalydScarborough Hospital, Scarborough, United KingdomeMedical University of Warsaw, Polandarticle infoArticle history:Received 4 February 2009 Accepted 31 March 2009 Keywords:GuidelinesEvidence-basedClinica l practiceParenteral nutritionCentral Venous accessVenous access devicesMidline cathetersPICCC entral Venous cathetersTotally implantable portsTunneled cathetersPeripheral Parenteral nutritionHome Parenteral nutritionUltrasound guidanceCatheter-related bloodstream infectionNeedle-free connectorsChlorhexidineAntibiotic lock therapyExchange over guide wireHeparin lockSutureless securing devicesCatheter-related Venous thrombosisPinch-off syndromeFibrin sleevesummaryWhen planning Parenteral nutrition (PN), the proper choice, insertion, and nursing of the Venous accessare of paramount importance.
Catheter-related bloodstream infection is an important and still too common complication of parenteral ... have been associated with fewer infections than polyvinyl chloride or polyethylene. Currently all available CVCs are made either of PUR (short-term and medium-term) ... in-line filters routine replacement of central lines on a scheduled ...
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