Access technique and its problems in parenteral nutrition – Guidelines on Parenteral Nutrition, Chapter 9

K. W. Jauch, W. Schregel, Z. Stanga, S. C. Bischoff, P. Braß, W. Hartl, S. Muehlebach, E. Pscheidl, P. Thul, O. Volk & Working Group For Developing The Guidelines For Parenteral Nutrition Of The German Association For Nutritional Medicine
Catheter type, access technique, and the catheter position should be selected considering to the anticipated duration of PN aiming at the lowest complication risks (infectious and non-infectious). Long-term (>7–10 days) parenteral nutrition (PN) requires central venous access whereas for PN <3 weeks percutaneously inserted catheters and for PN >3 weeks subcutaneous tunnelled catheters or port systems are appropriate. CVC (central venous catheter) should be flushed with isotonic NaCl solution before and after PN application and...