title: Evolution of the technique of home parenteral nutrition.
abstract: Experience with use of the artificial kidney in the home led to the concept of self-infusion of parenteral nutrients at home. Originally called an artificial gut, the term has been changed to home parenteral nutrition. The original method proposed for circulatory access, a side-arm on an A-V shunt, failed and forced the development of a right atrial catheter which proved to be both safe and longlasting. A safe and rapid self-mix system of nutrient preparation was developed which made the patient independent of the hospital pharmacy. A wearable infusion device proved workable but was abandoned because it was unnecessary and greatly interfered with patient rehabilitation. A portable infusion system has been developed which facilitates patient mobility during infusions as well as patient travel.
mesh_terms: D000553:Ambulatory Care; D001166:Arteriovenous Shunt, Surgical; D002408:Catheters, Indwelling; D003424:Crohn Disease / Q000178:diet therapy; D005260:Female; D005268:Femoral Vein; D006325:Heart Atria; D006437:Hemodialysis, Home; D006699:Home Care Services; D006801:Humans; D007676:Kidney Failure, Chronic / Q000178:diet therapy; D008297:Male; D010288:Parenteral Nutrition / Q000295:instrumentation / Q000379:methods*