MON-PO569: What and How Many Patients are Monitored by the UMCG Nutritional Support Team for Intestinal Failure and Transplantation Because of Initially Short-Term Total Parenteral Nutrition (TPN) at Home, Administered by a Growing Number of PICC’S?

2019 ◽  
Vol 38 ◽  
pp. S270
Author(s):  
S. Tabak ◽  
J. Barentsen ◽  
W. Westerhuis ◽  
G. Dijkstra
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Nutritional Support ◽  
Intestinal Failure ◽  
Short Term ◽  
Support Team ◽  
At Home

scholarly journals Managing children and adolescents on parenteral nutrition: challenges for the nutritional support team

2006 ◽  
Vol 65 (3) ◽  
pp. 217-221 ◽  
Author(s):  
Tracey Johnson ◽  
Elaine Sexton
Keyword(s):  
Parenteral Nutrition ◽  
Children And Adolescents ◽  
Nutritional Support ◽  
Intestinal Failure ◽  
Home Care Services ◽  
Cholestatic Liver Disease ◽  
Care Services ◽  
Child Assessments ◽  
The Individual ◽  
At Home

Managing infants, children and adolescents, ranging from premature infants to 18-year-old adolescents, on parenteral nutrition (PN) is a challenge. The ability of children to withstand starvation is limited and, unlike adults, children require nutrition for growth. PN in children is often required secondary to a congenital bowel problem rather than because of an acquired condition. Conditions requiring PN include motility disorders, congenital disorders of the intestinal epithelium and short-bowel syndrome (SBS). Intestinal failure may be temporary and children with SBS may be weaned from PN. However, other children require permanent PN. There are no comprehensive guidelines for the nutritional requirements of children and adolescents requiring PN. Practice in individual centres is based on clinical experience rather than clinical trials. Requirements are assessed on an individual basis according to age, nutritional status and clinical condition. These requirements need regular review to ensure that they remain appropriate for the changing age and weight of the child. Assessments of intakes use different methods, e.g. reference tables and predictive equations. Complications of PN include infection, accidental damage to, or removal of, the line and cholestatic liver disease. Home parenteral nutrition (HPN) is associated with fewer line infections and allows continuation of nutritional support in a more normal environment, encouraging normal development and participation in family activities. However, having a child at home on HPN is associated with physical and psychological stresses. A feeling of depression, loneliness and social isolation is common amongst children and their families. Home-care services are essential to supporting children at home and should be tailored to, and sensitive to, the individual needs of each family.

Comparative study between total parenteral nutrition (TPN) and no nutritional support in perioperative bariatric surgery

2003 ◽  
Vol 22 ◽  
pp. S19
Author(s):  
M.J. Martinez ◽  
M.A. Martinez ◽  
M.J. Morales ◽  
P. Parada ◽  
I. Otero ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Parenteral Nutrition ◽  
Comparative Study ◽  
Total Parenteral Nutrition ◽  
Nutritional Support

scholarly journals Diagnosis and management of catheter-related bloodstream infections in patients on home parenteral nutrition

2019 ◽  
Vol 11 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Ashley Bond ◽  
Paul Chadwick ◽  
Trevor R Smith ◽  
Jeremy M D Nightingale ◽  
Simon Lal
Keyword(s):  
Parenteral Nutrition ◽  
Bloodstream Infections ◽  
Venous Catheter ◽  
Nutrition Support ◽  
Central Venous ◽  
Short Term ◽  
Qualitative And Quantitative ◽  
Central Venous Catheter Removal ◽  
Support Team

Catheter-related bloodstream infections (CRBSIs) commonly arise from a parenteral nutrition catheter hub. A target for a Nutrition Support Team is to have a CRBSI rate of less than 1 per 1000. The diagnosis of CRBSI is suspected clinically by a temperature shortly after setting up a feed, general malaise or raised blood inflammatory markers. It is confirmed by qualitative and quantitative blood cultures from the catheter and peripherally. Treatment of inpatients may involve central venous catheter removal and antibiotics for patients needing short-term parenteral nutrition, but catheter salvage is generally recommended for patients needing long-term parenteral nutrition, where appropriate.

scholarly journals Parenteral nutrition at home in management of intestinal failure.

BMJ ◽  
1980 ◽  
Vol 280 (6228) ◽  
pp. 1356-1357 ◽  
Author(s):  
P J Milewski ◽  
E Gross ◽  
I Holbrook ◽  
C Clarke ◽  
L A Turnberg ◽  
...  
Keyword(s):  
Parenteral Nutrition ◽  
Intestinal Failure ◽  
At Home

Selenium Deficiency in Infants With Intestinal Failure on Total Parenteral Nutrition

2017 ◽  
Vol 101 ◽  
pp. S158-S159
Author(s):  
Arieda Gjikopulli ◽  
Margaret Miccolis ◽  
Nicole Fragale ◽  
Abigail Martin
Keyword(s):  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
Intestinal Failure ◽  
Selenium Deficiency

Quality of life of patients on long-term total parenteral nutrition at home

1986 ◽  
Vol 1 (1) ◽  
pp. 26-33 ◽  
Author(s):  
Allan S. Detsky ◽  
John R. McLaughlin ◽  
Howard B. Abrams ◽  
Kristan A. L’Abbe ◽  
Jocelyn Whitwell ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Parenteral Nutrition ◽  
Total Parenteral Nutrition ◽  
At Home
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