Clinical Nutrition in Gastrointestinal Disease

Alan Buchman, MD, MSPH

Chapter 35: Vascular Access For The Patient Receiving Parenteral Nutrition (continued)

Sandeep Gupta, MD; Ezra Steiger, MD; Mark Sands, MD

The development of parenteral nutrition (PN) in the 1960s enhanced the clinician’s ability to treat many severe gastrointestinal disorders that interfered with oral or enteral nutrient intake. Effective administration of PN, whether given to the patient in the hospital or at home, is dependent on obtaining and maintaining safe, prolonged vascular access. Complications associated with vascular-access–device insertion and maintenance can be serious and even life threatening. The early diagnosis and treatment of complications will help to prevent disastrous outcomes.