Brogden Bridgette J
Frank Stansil High Dependency Unit, King's College Hospital, London.
Br J Nurs. 2004;13(18):1068-73. doi: 10.12968/bjon.2004.13.18.16139.
Today, there are many alternative feeding options for patients unable to eat and drink and nutrition support has become part of everyday clinical practice. Although feeding via the enteral route used to be considered optional, recent experts have re-examined the role of parenteral nutrition, and found it to be as beneficial. This article will review current practice surrounding parental nutrition, its indications and the associated complications. Successful feeding via the intravenous route relies on the selection of the appropriate intravenous access, optimum nursing care and close patient monitoring. The range of venous access options will be discussed and advantages and disadvantages identified.
如今,对于无法进食和饮水的患者有许多替代喂养选择,营养支持已成为日常临床实践的一部分。尽管过去认为经肠内途径喂养是可选择的,但最近专家们重新审视了肠外营养的作用,并发现其同样有益。本文将综述围绕肠外营养的当前实践、其适应证及相关并发症。通过静脉途径成功喂养依赖于选择合适的静脉通路、最佳的护理及对患者的密切监测。将讨论静脉通路的选择范围并确定其优缺点。