Difficult Vascular Access in Children with Short Bowel Syndrome: What to Do Next?

Grimaldi, Chiara; Gigola, Francesca; Bici, Kejd; Oreglio, Chiara; Coletta, Riccardo; Morabito, Antonino

Abstract

Short Bowel Syndrome and intestinal failure are chronic and severe conditions that may require life-long parenteral nutrition in children. Survival of these children rely on the correct functioning of central venous catheters; therefore, careful management, prevention, and treatment of complications is of paramount importance. Despite a growing awareness of preserving the vascular real estate, a certain number of patients still experience a progressive and life-threatening exhaustion of vascular access. We searched the literature to highlight the current management of children with vascular exhaustion, specifically focusing on vascular access salvage strategies and last-resource alternative routes to central veins. Given the paucity of data, results are reported in the form of a narrative review.

Citation

Grimaldi, C., Gigola, F., Bici, K., Oreglio, C., Coletta, R., & Morabito, A. (2022). Difficult Vascular Access in Children with Short Bowel Syndrome: What to Do Next?. Children, 9(5), 688. https://doi.org/10.3390/children9050688

• Journal Article Type: Article
• Acceptance Date: May 5, 2022
• Online Publication Date: May 9, 2022
• Publication Date: May 9, 2022
• Deposit Date: Jul 27, 2022
• Publicly Available Date: Jul 27, 2022
• Journal: Children
• Publisher: MDPI
• Volume: 9
• Issue: 5
• Pages: 688
• DOI: https://doi.org/10.3390/children9050688
• Publisher URL: https://doi.org/10.3390/children9050688