PL EN


Preferences help
enabled [disable] Abstract
Number of results
2015 | 87(11) | 579-586
Article title

Damage of central catheters in home parenteral nutrition patients

Content
Title variants
Languages of publication
Abstracts
EN
According to the ESPEN and ASPEN guidelines, in the case of a long-term (>3-month) parenteral nutrition should be administered via a subcutaneous central venous catheter (CVC). There are three types of mechanical complications of tunnelled central catheter: catheter rupture, occlusion by TPN depositing and thrombofibrotic occlusion. The aim of the study was to analyse the incidence of complications central catheter in a group of patients receiving HPN. Material and methods. Between January 2010 and June 2014, HPN was conducted in 584 patients (306 women and 278 men), ninety-nine patients were enrolled in the study: 67 women and 32 men in whom mechanical complications of central catheters were found. Results. Among 99 patients, 71 used the tunnelled Broviac catheter. Groshong catheters were placed only in patients receiving parenteral nutrition due to cancer. Analyses have shown differences between the older and younger in the number of mechanical complications. Younger patients were found to have a larger number of catheter complications (1.6 ± 1.1) in comparison with older patients (1.3 ± 0.7). The catheter that was most commonly damaged was the Broviac catheter 76.8%. The most frequent type of mechanical complications was catheter rupture 64.81%. Conclusions. Mechanical complications of tunnelled central catheters in HPN patients can be repaired in an outpatient setting in half of the cases, which enables continuation of parenteral nutrition without the need to hospitalise the patient. The centres that conduct HPN should offer 24-hour care and help in case of problems with the central venous line to the patients.
Keywords
EN
HPN   CVC  
Year
Volume
Pages
579-586
Physical description
References
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.ceon.element-c20cd006-9a3a-3a06-8a7f-141dd46609a9
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.