Management of Central Venous Access in Children With Intestinal Failure: A Position Paper From the NASPGHAN Intestinal Rehabilitation Special Interest Group.

Autor: Wendel D; Division of Gastroenterology and Hepatology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA., Mezoff EA; Division of Gastroenterology and Nutrition, Nationwide Children's Hospital, Columbus, OH., Raghu VK; Division of Gastroenterology, Hepatology, and Nutrition, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA., Kinberg S; Division of Gastroenterology, Hepatology, and Nutrition, New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University, New York, NY., Soden J; Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Colorado, University of Colorado School of Medicine, Aurora, CO., Avitzur Y; Division of Gastroenterology, Hepatology, and Nutrition, The Hospital for Sick Children, University of Toronto, Toronto, ON, Canada., Rudolph JA; Division of Gastroenterology, Hepatology, and Nutrition, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, PA., Gniadek M; Division of Gastroenterology and Nutrition, Nationwide Children's Hospital, Columbus, OH., Cohran VC; Division of Gastroenterology, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL., Venick RS; Division of Gastroenterology, Hepatology, and Nutrition, UCLA Mattel Children's Hospital, UCLA David Geffen School of Medicine, Los Angeles, CA., Cole CR; Division of Gastroenterology, Hepatology and Nutrition, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati School of Medicine, Cincinnati, OH.
Jazyk: angličtina
Zdroj: Journal of pediatric gastroenterology and nutrition [J Pediatr Gastroenterol Nutr] 2021 Mar 01; Vol. 72 (3), pp. 474-486.
DOI: 10.1097/MPG.0000000000003036
Abstrakt: Abstract: Intestinal failure requires the placement and maintenance of a long-term central venous catheter for the provision of fluids and/or nutrients. Complications associated with this access contribute to significant morbidity and mortality, while the loss of access is an increasingly common reason for intestinal transplant referral. As more emphasis has been placed on the prevention of central line-associated bloodstream infections and new technologies have developed, care for central lines has improved; however, because care has evolved independently in local centers, care of central venous access varies significantly in this vulnerable population. The present position paper from the Intestinal Failure Special Interest Group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) reviews current evidence and provides recommendations for central line management in children with intestinal failure.
Competing Interests: The authors report no conflicts of interest.
(Copyright © 2020 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.)
Databáze: MEDLINE
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