Route of Pediatric Parenteral Nutrition: Proposed Criteria Revision

Ziegler, Moritz M.; Jakobowski, Diane; Hoelzer, Dennis J.; Eichelberger, Martin R.; Koop, C. Everett

doi:10.1016/s0022-3468(80)80756-1

“…Infeetion due to eatheters is the most serious eomplieation of TPN administered through a eentral vein. In a reeent study from a large ehildren's hospital, despite the availability and experienee of a nutrition support team, a sepsis rate of 10.5 % was reported in ehildren receiving TPN via a eentral venous eatheter (10). As has been doeumented by several previous studies (6-9, 11), as well as reiterated in the present report teehnieal.and infeetious eomplications of TPN are virtually eliminated when the peripheral venous route is employed for administering TPN.…”

Section: Discussionsupporting

confidence: 69%

Total Parenteral Nutrition in the Newborn Using Peripheral Veins: Role of I.V. Nursing Team

Puri¹

1982

Eur J Pediatr Surg

1

0

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During a six-year period, 109 consecutive neonates were fed intravenously via peripheral veins. This report compares two groups of neonates, group A when conventional approach of I.V. therapy was utilised, i.e. when junior medical staff erected all infusions, and group B when I.V. team nurses were responsible for erecting over 90% of infusions. Neonates in group A lost 1528 hours (63.7 days) or 8.8% of total infusion time. In contrast, patients in group B lost 1303 hours (54.3 days) or 3.8% of total infusion time (x2 = 23.31; p less than 0.001). On completion of course of total parenteral nutrition, 71% of the infants in group A maintained or gained weight and 29% lost weight, while in group B 88.2% of patients maintained or gained weight and 11.8% lost weight.

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“…Factors involved in catheter-related venous thrombosis include prematurity, thrombogenicity of the implant and type of infusate, catheter sepsis and duration of the implant. 19,20 Clinical superior vena cava thrombosis has been reported in up to 8.4% of the cases, 11 but this complication is not reported in our series fortunately.…”

Section: Figure(2d): X-ray Chest Pa View To Confirm Cvc Localization With Tip Little Deep That Need Manipulationmentioning

confidence: 52%

The medial head gastrocnemius muscle transposition flap for coverage and functional restoration in limb-salvage surgery of bone tumors in the proximal tibia

Rahman

¹

,

Nasser

²

,

Safe

³

2011

Ain Shams Journal of Surgery

0

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Central venous catheter (CVC) access is needed for chronic use in newborns and infants. Open venous catheterization is a well established technique for treating children. 1 In neonates; it is especially useful for long-term venous access, parenteral feeding, monitoring, and administration of centrally acting drugs. 1,2 Different types of catheters were used including totally implantable and non totally implantable depending upon its use and indications. From the literature, Broviac catheters appear to be the most widely used surgically inserted catheters, with acceptable complication rates even in low birth weight infants. 1,3 Improvement of the manufacturing material leads to minimizing the complication rate. [4][5][6] Originally CVC was performed for three main reasons; total parental nutrition and administration of drugs, venous pressure

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“…7 The internal jugular vein was used almost exclusively in the placement of CVCs and was found to be reliable and quick method with few complications. 5,9,10 Although not used in our series, alternative routes of CVC placement such as long saphenous vein 7 or per-cutanous subclavian vein 11 have been advocated with apparently similar complication rates. Also central lines via peripheral veins have been successfully used by some, 12 it was found to be less reliable, often technically difficult and prone to blockage or accidental removal by others.…”

Section: Figure(2d): X-ray Chest Pa View To Confirm Cvc Localization With Tip Little Deep That Need Manipulationmentioning

confidence: 88%

Jugular central venous access in neonates and infants below one year of age: Experience in 114 cases

Shehata

¹

,

Effat

²

,

Elheniedy

³

2011

Ain Shams Journal of Surgery

0

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Central venous catheter (CVC) access is needed for chronic use in newborns and infants. Open venous catheterization is a well established technique for treating children. 1 In neonates; it is especially useful for long-term venous access, parenteral feeding, monitoring, and administration of centrally acting drugs. 1,2 Different types of catheters were used including totally implantable and non totally implantable depending upon its use and indications. From the literature, Broviac catheters appear to be the most widely used surgically inserted catheters, with acceptable complication rates even in low birth weight infants. 1,3 Improvement of the manufacturing material leads to minimizing the complication rate. [4][5][6] Originally CVC was performed for three main reasons; total parental nutrition and administration of drugs, venous pressure

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Route of Pediatric Parenteral Nutrition: Proposed Criteria Revision

Cited by 33 publications

References 10 publications

Total Parenteral Nutrition in the Newborn Using Peripheral Veins: Role of I.V. Nursing Team

Total Parenteral Nutrition in the Newborn Using Peripheral Veins: Role of I.V. Nursing Team

The medial head gastrocnemius muscle transposition flap for coverage and functional restoration in limb-salvage surgery of bone tumors in the proximal tibia

Jugular central venous access in neonates and infants below one year of age: Experience in 114 cases

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