Artificial Nutrition in Children (II): Parenteral Access
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313 |
Resumo: | Parenteral nutrition is crucial when the use of the gastrointestinal tract is not feasible. This article addresses the main techniques for parenteral access in children, its indications, insertion details and maintenance, and complications. The type of venous access is mainly dictated by the expected duration of parenteral nutrition and by the body weight/stature. The peripheral access is viable and advantageous for parenteral nutrition of short duration (< 2 weeks); a tunneled central venous catheter (Broviac) is usually necessary in long-term parenteral nutrition (> 3 weeks); a peripherally introduced central catheter is an increasingly used alternative. Parenteralaccesses are effective and safe, but the morbidity and mortality is not negligible particularly in cases of short bowel syndrome. Most complications are related to the catheter placement and maintenance care, and can be largely avoided when the procedures are carried out by experienced staff under strict protocols.Keywords: Child; Parenteral Nutrition; Catheterization, Central Venous; Catheterization, Peripheral. |
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Artificial Nutrition in Children (II): Parenteral AccessVias para Nutrição Artificial na Criança (II): Acessos ParentéricosParenteral nutrition is crucial when the use of the gastrointestinal tract is not feasible. This article addresses the main techniques for parenteral access in children, its indications, insertion details and maintenance, and complications. The type of venous access is mainly dictated by the expected duration of parenteral nutrition and by the body weight/stature. The peripheral access is viable and advantageous for parenteral nutrition of short duration (< 2 weeks); a tunneled central venous catheter (Broviac) is usually necessary in long-term parenteral nutrition (> 3 weeks); a peripherally introduced central catheter is an increasingly used alternative. Parenteralaccesses are effective and safe, but the morbidity and mortality is not negligible particularly in cases of short bowel syndrome. Most complications are related to the catheter placement and maintenance care, and can be largely avoided when the procedures are carried out by experienced staff under strict protocols.Keywords: Child; Parenteral Nutrition; Catheterization, Central Venous; Catheterization, Peripheral.A nutrição artificial por via parentérica é de crucial importância quando a utilização do trato gastrointestinal não é exequível. Neste artigo é revista a literatura relevante acerca das principais técnicas para acessos parentéricos na criança, suas indicações, princípios de colocação e manutenção, e complicações. A escolha do tipo de acesso venoso é baseada, sobretudo, na duração prevista para a nutrição parentérica e no peso/estatura corporal. O acesso periférico é viável e vantajoso para a nutrição parentérica de curta duração (< 2 semanas); um cateter venoso central tunelizado (Broviac) é geralmente necessário na nutrição parentérica de longa duração (> 3 semanas); a colocação periférica de um cateter central é uma alternativa de utilização crescente. Os acessos parentéricos são eficazes e seguros, embora com morbi-mortalidade não desprezível sobretudo nos casos de intestino curto. A maioria das complicações está relacionada com a colocação e cuidados de manutenção dos acessos venosos, podendo ser em grande parte evitadas se osprocedimentos forem efetuados por pessoal experiente com protocolos estritos.Palavras-chave: Criança; Nutrição Parentérica; Cateterismo Venoso Central; Cateterismo Periférico.Ordem dos Médicos2014-12-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/jpegimage/jpegimage/jpegimage/jpegimage/jpegimage/jpegapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313oai:ojs.www.actamedicaportuguesa.com:article/5313Acta Médica Portuguesa; Vol. 27 No. 6 (2014): November-December; 767-774Acta Médica Portuguesa; Vol. 27 N.º 6 (2014): Novembro-Dezembro; 767-7741646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/4160https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7144https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7145https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7146https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7147https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7148https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7149https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7462Estevão-Costa, Joséinfo:eu-repo/semantics/openAccess2022-12-20T11:04:18Zoai:ojs.www.actamedicaportuguesa.com:article/5313Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:04.154955Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Artificial Nutrition in Children (II): Parenteral Access Vias para Nutrição Artificial na Criança (II): Acessos Parentéricos |
title |
Artificial Nutrition in Children (II): Parenteral Access |
spellingShingle |
Artificial Nutrition in Children (II): Parenteral Access Estevão-Costa, José |
title_short |
Artificial Nutrition in Children (II): Parenteral Access |
title_full |
Artificial Nutrition in Children (II): Parenteral Access |
title_fullStr |
Artificial Nutrition in Children (II): Parenteral Access |
title_full_unstemmed |
Artificial Nutrition in Children (II): Parenteral Access |
title_sort |
Artificial Nutrition in Children (II): Parenteral Access |
author |
Estevão-Costa, José |
author_facet |
Estevão-Costa, José |
author_role |
author |
dc.contributor.author.fl_str_mv |
Estevão-Costa, José |
description |
Parenteral nutrition is crucial when the use of the gastrointestinal tract is not feasible. This article addresses the main techniques for parenteral access in children, its indications, insertion details and maintenance, and complications. The type of venous access is mainly dictated by the expected duration of parenteral nutrition and by the body weight/stature. The peripheral access is viable and advantageous for parenteral nutrition of short duration (< 2 weeks); a tunneled central venous catheter (Broviac) is usually necessary in long-term parenteral nutrition (> 3 weeks); a peripherally introduced central catheter is an increasingly used alternative. Parenteralaccesses are effective and safe, but the morbidity and mortality is not negligible particularly in cases of short bowel syndrome. Most complications are related to the catheter placement and maintenance care, and can be largely avoided when the procedures are carried out by experienced staff under strict protocols.Keywords: Child; Parenteral Nutrition; Catheterization, Central Venous; Catheterization, Peripheral. |
publishDate |
2014 |
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2014-12-30 |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313 oai:ojs.www.actamedicaportuguesa.com:article/5313 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313 |
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oai:ojs.www.actamedicaportuguesa.com:article/5313 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/4160 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7144 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7145 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7146 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7147 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7148 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7149 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/5313/7462 |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 27 No. 6 (2014): November-December; 767-774 Acta Médica Portuguesa; Vol. 27 N.º 6 (2014): Novembro-Dezembro; 767-774 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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