Center for Chronic Intestinal Failure, St. Orsola-Malpighi University Hospital, Bologna, Italy.
AZ Nikolaas Hospital, Nutrition Support Team, Sint-Niklaas, Belgium.
Clin Nutr. 2020 Jun;39(6):1645-1666. doi: 10.1016/j.clnu.2020.03.005. Epub 2020 Apr 18.
This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home parenteral nutrition (HPN) providers, as well as healthcare administrators and policy makers, about appropriate and safe HPN provision. This guideline will also inform patients requiring HPN. The guideline is based on previous published guidelines and provides an update of current evidence and expert opinion; it consists of 71 recommendations that address the indications for HPN, central venous access device (CVAD) and infusion pump, infusion line and CVAD site care, nutritional admixtures, program monitoring and management. Meta-analyses, systematic reviews and single clinical trials based on clinical questions were searched according to the PICO format. The evidence was evaluated and used to develop clinical recommendations implementing Scottish Intercollegiate Guidelines Network methodology. The guideline was commissioned and financially supported by ESPEN and members of the guideline group were selected by ESPEN.
本指南将为医师、护士、营养师、药剂师、护理人员和其他家庭肠外营养（HPN）提供者，以及医疗保健管理人员和政策制定者，提供关于适当和安全的 HPN 供应的信息。本指南也将为需要 HPN 的患者提供信息。该指南基于之前发布的指南，并提供了当前证据和专家意见的更新；它由 71 条建议组成，涉及 HPN 的适应证、中心静脉通路装置（CVAD）和输液泵、输液管路和 CVAD 部位护理、营养添加剂、方案监测和管理。根据 PICO 格式搜索了基于临床问题的荟萃分析、系统评价和单临床试验。对证据进行了评估，并用于制定临床建议，实施苏格兰校际指南网络方法。该指南由 ESPEN 委托并提供资金支持，指南小组成员由 ESPEN 选定。
