[Perioperative high-caloric alimentation with the central venous catheter. Prospective study in 404 patients].
Peri-operative high-calorie nutrition was administered, through a total of 500 catheters introduced into the superior vena cava via the subclavian vein, to 404 patients admitted to hospital for gastro-intestinal cancer resection or other major abdominal operations, some of them taking a complicated course. Most of the catheters remained in situ for 6-20 days; the longest period was 44 days. Catheter insertion was successful in 97.8%. Faulty position of the catheter occurred in 4.4%; in 2.8% it was rectified under fluoroscopic control. In 92.2% there were no complications ascribable to the catheter. A pneumothorax resulted in 1.4% of patients, central thrombosis in 0.4%. Catheter-related sepsis was noted in 6.2%.
D000328:Adult; D000368:Aged; D002404:Catheterization / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D010288:Parenteral Nutrition / Q000379:methods*; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011030:Pneumothorax / Q000209:etiology; D011446:Prospective Studies; D018805:Sepsis / Q000209:etiology; D013350:Subclavian Vein; D013927:Thrombosis / Q000209:etiology; D014682:Vena Cava, Inferior
Perioperative hochkalorische Ernährung mit dem zentralen Venenkatheter. Prospektive Studie bei 404 Patienten.