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Nutrition in Clinical Practice
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Placement of Vascular Access Devices for Parenteral Nutrition

Clifford J. Buckley, MD, FACS

Department of Surgery, Scott & White Memorial Hospital and Clinic, Texas A&M University Health Science Center, Temple

Shirley D. Lee, MSN, RN, CNS

Department of Surgery, Scott & White Memorial Hospital and Clinic, Texas A&M University Health Science Center, Temple

In the past 30 years, substantial progress has been made in the development of devices and catheters used for central venous vascular access. Temporary, semipermanent, and totally implantable access systems have each undergone multiple design revisions to improve their ease of insertion, durability, and potential for complication. This article provides methodology for the insertion of central venous access systems currently used for parenteral nutrition. The article also discusses the more common complications of these access devices and makes recommendations for management.

Nutrition in Clinical Practice, Vol. 14, No. 4, 194-201 (1999)
DOI: 10.1177/088453369901400407
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