Sage Journals: Discover world-class research

Abstract

Various infusion systems have been devised to allow long-term administration of total parenteral nutrition solutions on an ambulatory basis to patients who are unable to maintain adequate enteral nutrition and/or who might benefit from a period of bowel rest. During the past 3 yr, the intravenous hyperalimentation team of The Hermann Hospital and The University of Texas Medical School at Houston has gained considerable experience in developing a specially designed patient vest which is comfortable, attractive and practical for continuous or intermittent central venous or enteral feeding on an ambulatory basis. The system is described together with the results of its use. in 25 patients ranging in age from 23 mo to 66 yr for a cumulative total ambulatory home hyperalimentation experience equivalent to 12.4 man-years. Complications related to the technique have been minimal, and clinical results have been most gratifying. It is anticipated that further advances in this vital field will contribute to increased cost effectiveness, cost containment and favorable clinical results. The purposes of this communication are to: (1) summarize the relatively short history of the genesis of ambulatory home hyperalimentation, (2) describe ambulatory infusion techniques and the system developed at The University of Texas Medical School at Houston, and (3) report our experience with the development and clinical application of this system.

Get full access to this article

View all access options for this article.

References

1. Rhoads JE , Rawnsley HM , Vars HM , et al: The use of diuretics as an adjunct in parenteral hyperalimentation for surgical patients with prolonged disability of the gastrointestinal tract. Bull Int Soc Surg 24:59–70, 1965.

2. Dudrick SJ , Wilmore DW , Vars HM , et al: Long-term total parenteral nutrition with growth, development and positive nitrogen balance. Surgery 64:134–142, 1968.

3. Dudrick SJ , Wilmore DW , Vars HM , et al: Can intravenous feeding as the sole means of nutrition support growth in the child and restore weight loss in an adult? An affirmative answer. Ann Surg 169:974–984, 1969.

4. Broviac JW , Scribner BH : Prolonged parenteral nutrition in the home. Surg Gynecol Obstet 139:24–28, 1974.

5. Jeejeebhoy KN , Langer B , Tsallas G , et al: Total parenteral nutrition at home: Studies in patients surviving 4 months to 5 years. Gastroenterology 71:943–953, 1976.

6. Solassol C , Joyeux H : Ambulatory parenteral nutrition. In Manni C , Magalini SI , Scrascia E (eds): Parenteral Alimentation. The International Symposium on Intensive Therapy. American Elsevier Publishing Company, Inc., New York, 1976, pp 138–152.

7. Maenab AJ : A portable infusion system for the ambulant child. J Pediatr 88:654–685, 1976.

8. Dudrick SJ, Englert DM, MacFadyen BV Jr et al: A vest for ambulatory hyperalimentation patients. Surg Gynecol Obstet (In press).

9. Englert DM , Dudrick SJ : Principles of ambulatory home hyperalimentation. Am J IV Therapy 5:11–28, 1978.

New Concepts of Ambulatory Home Hyperalimentation

Abstract

Get full access to this article

References