Authors

1Álvaro David Campos Palomo, 2Laura Deseada Campos Palomo

Position

¹Enfermero y logopeda. Cuidados Críticos y Urgencias. Hospital Virgen de la Victoria (Málaga).²Enfermera. Servicio de Urgencias. Hospital Punta de Europa. Algeciras (Cádiz).

Contact address

Álvaro David Campos Palomo. C/ Escritora Josefina Aldecoa, 6, bq. 5, portal 17, 4º C. 29010 Málaga.

Contact email: Marbillo86@hotmail.com

Abstract

Objectives: to find evidence for the safety in the use of femoral pathway and two-lumen catheter for administration of parenteral nutrition, as well as evidence regarding complications associated with the different central venous access pathways.
Methodology: systematic review with access to the main databases through the GERIÓN metasearch engine. The search strategies used were: time limitation (2000-2013) and the combination of Thesaurus and free terms for each one of the parameters in the PICO format. Inclusion and exclusion criteria were determined for the selection of articles and quality criteria for their evaluation (CASPe).
Results: the femoral pathway would not be the first option in case of parenteral nutrition through two-lumen pathway; however, it would be first choice in case of hemodialysis and in those patients for whom the superior vena cava access would be contraindicated. Subclavian vein access is the pathway which causes a higher number of complications.
Conclusions: the results of this review are not sufficiently robust for determining specific recommendations for decision making (the level of evidence is 2++ and Level C recommendation, according to the Scottish Intercollegiate Guidelines Network (SIGN))

Keywords:

central venous catheter; safety; femoral venous access; parenteral nutrition; infection; thrombosis

Versión en Español

Título:

Seguridad de la dieta parenteral a través de catéter femoral de dos luces