title: Obtaining and maintaining vascular access in the home parenteral nutrition patient.
abstract: Obtaining and maintaining vascular access is a critical part of successful home parenteral nutrition (HPN) management. Most of the HPN related rehospitalization of patients is caused by problems associated with long-term vascular access. The causes of death in HPN patients are mostly related to their primary underlying disease. However, approximately 12% of deaths in HPN patients are related to catheter-associated problems. The appropriate placement of long-term vascular access devices and their care and management should be familiar to all clinicians helping to manage these patients and will be discussed.
authors.affiliation: Department of General Surgery, Cleveland Clinic Foundation, Ohio, USA. steiger@ccf.org
authors.forename: Ezra
authors.initials: E
authors.lastname: Steiger
mesh_terms: D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods / Q000592:standards*; D002408:Catheters, Indwelling / Q000592:standards; D006801:Humans; D016331:Parenteral Nutrition, Home