Affordable Access

Publisher Website

Long term home parenteral nutrition using a subcutaneous venous access

Authors
Journal
Clinical Nutrition
0261-5614
Publisher
Elsevier
Volume
11
Issue
2
Identifiers
DOI: 10.1016/0261-5614(92)90017-k
Disciplines
  • Biology
  • Medicine

Abstract

Abstract Home parenteral nutrition (HPN) utilising a subcutaneous venous access (SVA) infusion system (port-a-cath® (PAC)), allows patients with a nonfunctioning bowel to lead a relatively normal life with full nutritional support. A patient with pseudo-obstruction of the bowel due to scleroderma was treated with HPN for 1192 consecutive days. During this time the patient underwent 6 catheter or port changes due to occlusion of the infusion system. The infusion regime was modified several times in an attempt to prevent occlusion. Infusing carbohydrate and protein daily, with a lipid infusion twice weekly increased the patency of the infusion system. In 2 other patients, rinsing the infusion system with 2ml of a 45% alcohol solution after use increased the patency of the infusion system further. This regime has now been in use for 924 consecutive days with no occlusions.

There are no comments yet on this publication. Be the first to share your thoughts.