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DIVA in children with short bowel syndrome – Full Text

"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).

"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).

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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.

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