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"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" Grimaldi et al (2022).
DIVA in children with short bowel syndrome

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.

Reference:

Grimaldi C, Gigola F, Bici K, Oreglio C, Coletta R, Morabito A. Difficult Vascular Access in Children with Short Bowel Syndrome: What to Do Next? Children (Basel). 2022 May 9;9(5):688. doi: 10.3390/children9050688. PMID: 35626867; PMCID: PMC9139311.