Central Line Management and Intestinal Failure

Abstract

Intestinal failure (IF) arises when the gut function is below the minimum required for absorption of macronutrients, water, and electrolytes, and intravenous supplementation is needed to maintain homeostasis. Central venous access (CVA) is required in both acute and chronic forms of the condition. The preservation of venous access and the management of catheter-related complications are important determinants of long-term survival in those who suffer chronic intestinal failure. For optimal CVA outcomes, patients should be managed at IF centers of excellence by multidisciplinary teams that include interventional radiologists. CVA management should include evidence-based protocols implemented by trained staff and close monitoring of outcomes to ensure safety and efficacy.