Long-Term Parenteral Nutrition: Problems with Venous Access
Author(s) -
A. S. McIntyre,
D J Gertner,
S Wood,
R K S Phillips,
J E LennardJones
Publication year - 1990
Publication title -
journal of the royal society of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 81
eISSN - 1758-1095
pISSN - 0141-0768
DOI - 10.1177/014107689008300611
Subject(s) - parenteral nutrition , medicine , venous access , sepsis , intensive care medicine , venous thrombosis , vascular access , central venous catheter , term (time) , incidence (geometry) , intravenous therapy , thrombosis , surgery , catheter , hemodialysis , physics , quantum mechanics , optics
Long-term parenteral nutrition requires central venous access, often difficult in patients who have had several central venous catheterizations. Therapy may be complicated by thrombosis and sepsis which may further compromise central access. We report five cases illustrating such difficulties and suggest that these patients be referred early to specialist centres where experienced catheter insertion and management results in a greatly reduced incidence of complications.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom