Intensive care medicine

Special Interest Group

Venous access

Surgery

Intestinal failure

Economics

Catheter

Environmental health

Rehabilitation

Short bowel syndrome

Central venous catheter

Position (finance)

Political science

Central line

Physical therapy

Population

Family medicine

Internal medicine

Hepatology

Referral

Medicine

Physical medicine and rehabilitation

Finance

Parenteral nutrition

Journal of Pediatric Gastroenterology and Nutrition

Intestinal failure requires the placement and maintenance of a long-term central venous catheter for the provision of fluids and/or nutrients. Complications associated with this access contribute to significant morbidity and mortality, while the loss of access is an increasingly common reason for intestinal transplant referral. As more emphasis has been placed on the prevention of central line-associated bloodstream infections and new technologies have developed, care for central lines has improved; however, because care has evolved independently in local centers, care of central venous access varies significantly in this vulnerable population. The present position paper from the Intestinal Failure Special Interest Group of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHAN) reviews current evidence and provides recommendations for central line management in children with intestinal failure.

Management of Central Venous Access in Children With Intestinal Failure