Complications of parenteral nutrition

Wolfe, Bruce M.; Ryder, Marcia; Nishikawa, Reid A.; Haisted, Charles H.; Schmidt, Brian F.

doi:10.1016/0002-9610(86)90153-4

Cited by 91 publications

(2 citation statements)

References 16 publications

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“…in 9 % cases deep seated abscess was indication for operative treatment. [13,14] In 54.6% cases fistulaectomy and reanastomosis was done. In 27.3% cases tension suture for abdominal wound dehiscence was given, in 9 % cases drainage of deep seated abscess was done.…”

Section: Discussionmentioning

confidence: 99%

Evaluation and Management of Post-Operative Enterocutaneous Fistula

Mohanty¹,

Mohanty²

2017

Ann. Int. Med. Den. Res.

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Background: An enterocutaneous fistula is the abnormal communication between two epithelialized surfaces, one of which is a hallow organ. The discharge of intestinal content into the skin constitutes major nursing challenge. The most important complications include infection and sepsis, electrolyte imbalances and malnutrition, which when not managed properly will lead to grave outcome. Aims: To evaluate the causative factors, the various modes of management and the outcome of such intervention. Methods: Retrospective study of the patients admitted and treated for enterocutaneous fistula due to operative causes were evaluated in Dept of General Surgery S.C.B. Medical College and Hospital, Cuttack from 2014 to 2016. Results: Enterocutaneous fistula frequently follow emergency surgery on gastrointestinal tract, particularly the ileum, duodenum and colon, usually occurring around the 7th postoperative day and most end in spontaneous closure with conservative therapy. Surgery should be restricted to treatment of specially indicated patients like prolonged continuous fistulous discharge, abdominal wound dehiscence and deep seated intra peritoneal abscess. Conclusions: The total management of enterocutaneous fistula involves skilled nutritional support, stoma therapy, elimination of sepsis and finally a carefully timed, well-judged and well carried out surgery which will result in favourable outcome in patients with this dreaded complication.

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Section: Discussionmentioning

confidence: 99%

Evaluation and Management of Post-Operative Enterocutaneous Fistula

Mohanty¹,

Mohanty²

2017

Ann. Int. Med. Den. Res.

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“…Central venous catheter-related complications such as venous thrombosis, pulmonary embolism, retrograde flow, extravasation, and infections have been well described. 10,12,15 Administration of intravenous products through peripherally inserted central catheters or peripherally inserted intravenous catheters reduces the inherent risks associated with central venous catheters. 3,4 Finding an adequate peripheral vein for access in a neonate, other than the umbilical vein, can be quite difficult due to small vein caliber in the extremities.…”

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confidence: 99%

Accidental intracranial infusion of parenteral nutrition in a preterm neonate

Ahmadian

Manwaring

Truong

et al. 2015

PED

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Vascular access in the neonate can be challenging, especially in preterm infants. When other access is not available, superficial scalp veins can be safely used for vascular access. However, rare and potentially catastrophic complications can occur due to unique features of the neonatal skull and soft-tissue anatomy. The authors report a rare complication of vascular access in a preterm infant, which led to the direct infusion of parenteral nutrition into the intracranial space. The child had an excellent outcome after open drainage and irrigation of bilateral intracranial spaces and the spinal thecal sac. Relevant anatomy is illustrated, and an outcome-based literature review is presented on this rarely reported condition. Surgical and conservative management strategies are discussed, along with clinical and radiographic follow-up. Drainage and irrigation is advocated in patients with mass effect, viscous effusions, or declining neurological examination findings.

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