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.
antibiotic prophylaxis the use of heparin B6 Diagnosis of catheter-related sepsis Diagnosis of CRBSI is best achieved (a) by quantitative or semi-quantitative culture of the catheter (when the CVC is removed or exchanged over a guide wire), or …
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