Central venous catheter access

Dai H. Chung, Moritz M. Ziegler

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Central venous access for the purpose of supplying parenteral nutrition to the pediatric age group requires a careful definition of the patient's caloric need, estimated duration of therapy, and an assessment of available sites. Peripheral vein parenteral nutrition is limited by caloric density of the nutrient fluids, while peripherally inserted central catheters (PICC) offers a new technology for accessing central veins while obviating the risk of central vein access. Routes of central vein access are several and there are also a variety of catheters available for placement. Tunneled percutaneous placement of silicone rubber cuffed catheters via the subclavian vein approach is that technique we use most commonly. The risks of such access catheters include mechanical risks of placement, venous thrombosis of the access sites, and most importantly catheter related infections, either at the exit site, the subcutaneous tunnel or pouch, or even generalized sepsis. With a full knowledge of the spectrum of access techiques, access materials, and risks, safe total parenteral nutrition can be safely delivered to the children in need.

Original languageEnglish (US)
Pages (from-to)119-123
Number of pages5
JournalNutrition
Volume14
Issue number1
DOIs
StatePublished - Jan 1998
Externally publishedYes

Fingerprint

Central Venous Catheters
Veins
Catheters
Parenteral Nutrition
Subclavian Vein
Catheter-Related Infections
Silicone Elastomers
Total Parenteral Nutrition
Venous Thrombosis
Sepsis
Age Groups
Pediatrics
Technology
Food
Therapeutics

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Central venous catheter access. / Chung, Dai H.; Ziegler, Moritz M.

In: Nutrition, Vol. 14, No. 1, 01.1998, p. 119-123.

Research output: Contribution to journalArticle

Chung, Dai H. ; Ziegler, Moritz M. / Central venous catheter access. In: Nutrition. 1998 ; Vol. 14, No. 1. pp. 119-123.
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