title: [Parenteral nutrition at home. National and Scandinavian organization and team work].
abstract: Long term parenteral nutrition is lifesaving in a few patients with severe gastrointestinal failure. Such therapy is often carried out at home (Home parenteral nutrition, HPN) and based on a high degree of self-care. The risk of complications is high, and it requires a considerable skill and experience from the hospital staff to manage HPN and educate patients. The prevalence of such patients in the Nordic countries is 3-4 per million. In some Nordic countries it is impossible to centralize this treatment only to one or two hospitals. With such a small number of patients scattered all over the country it is therefore important to establish a national co-operation and registration regarding HPN-patients. This will increase experience with HPN and make it possible to standardize the therapy with regards to indications, catheter technique, nutritional supply, management of complications, education etc. Furthermore it is a wish to expand this co-operation and registration to include all Nordic countries. Such multinational co-operation might be of value in cases of rare and difficult patients on HPN and in children and will further increase our experience with HPN. Results from a meeting on Nordic co-operation concerning HPN is presented.
authors.affiliation: Avdeling for anestesiologi, Haukeland Sykehus, Bergen.
authors.forename: H
authors.initials: H
authors.lastname: Flaatten
authors.forename: K A
authors.initials: KA
authors.lastname: Dahlström
authors.forename: K
authors.initials: K
authors.lastname: Ladefoged
mesh_terms: D006801:Humans; D007391:International Cooperation; D009664:Norway; D010288:Parenteral Nutrition / Q000009:adverse effects; D016331:Parenteral Nutrition, Home / Q000458:organization & administration*; D010353:Patient Education as Topic; D012042:Registries; D012537:Scandinavian and Nordic Countries; D012648:Self Care
vernacular_title: Parenteral ernaering i hjemmet. Nasjonal og nordisk organisering og samarbeide.