CHAPTER 2 FIGURE 2.2 Catheters for home parenteral nutrition


BOX 2.2 Advantages and Disadvantages of Central Vascular Access Devices Used for Home Parenteral Nutrition8,9


Peripherally inserted central catheter, nontunneled


ƒ For time-limited use (typically <6–12 months) ƒ Semi-permanent device placed via a peripheral vein with the tip extending to the central termination point


ƒ Used in acute settings and home care


Advantages ƒ Placed by specially trained provider


ƒ Available with 1 to 3 lumens ƒ Can be removed at home ƒ Lower cost of placement


ƒ Less risk of insertion complications


Box continues Disadvantages


ƒ Higher incidence of catheter malfunction


ƒ Patient requires assistance for site dressing care


ƒ May affect body image


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