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Nutrition in Clinical Practice
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Invited Review: Vascular Access Devices: Perspectives on Designs, Complications, and Management

Marsha Evans, ORR, RN, MS, CNSN, CS

Department of Parenteral and Enteral Nutrition, University of Cincinnati Hospital

Marcia A. Ryder, RN, CNSN

Nursing Consultant, San Mateo, California

The use of vascular access devices in hospitalized and home care patients has expanded rapidly in the past decade. New designs, materials, insertion techniques, and protocols for care related to vascular access devices have emerged. Complications associated with them, however, have remained a persistent problem. Septicemia, thrombosis, and occlusion are three of the more serious complications that can lead to the need for removal of the device. These complications are reviewed and areas for future research are identified.

Nutrition in Clinical Practice, Vol. 8, No. 4, 145-152 (1993)
DOI: 10.1177/0115426593008004145
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[Abstract] [PDF]