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The optimal location of a central venous catheter tip is the cavoatrial junction. Acceptable locations include: Superior vena cava (including brachiocephalic - SVC junction) Right atrium Inferior vena cava Central venous catheter tip at cavoatrial junction Central venous catheter tip at...

Purpose: To confirm patient and family readiness for home parenteral nutrition https://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/st…

Chronic intestinal pseudo-obstruction Definition: Heterogenous group of disorders characterized by disordered peristalsis leading to intestinal malabsorption and pseudo-obstructive crisis. Some types are acute. Radiograph showing marked small bowel dilatation without evidence of an abrupt transition...

Case for fat overload syndrome 7 year-old on PN 1500 ml/day over 24 hours and (3 gm/kg) 310 ml/day over 24 hours •PN and lipid pumps are mixed up •IL runs at 63 ml/hour, instead of 13 ml/hour •What do you need to watch for?

Acute Care Case Study: GI Sepsis -- A video lecture through OpenPediatrics Caring for a Central Line at Home -- An educational video series for families & caregivers HPN Fellow Training Video

Coping can occur in a variety of styles. Family members at different developmental stages. Previous context and history with illness. Grieving loss of anticipated childhood (without illness). Ambivalence between craving choices and craving guidance. Coping with diagnosis can often mirror grief cycle...

For a PDF version of the FAQ's, click here What if patient has a fever? Refer patient to the emergency department. Do not reassure family over the phone. For red flag symptoms, tell them to dial 911 (altered mental status, chills, seizures). Tell family to anticipate admission for at least 48 hours...

Case #1 7 year-old on PN 1500 ml/day over 24 hours and (3 gm/kg) 310 ml/day over 24 hours •PN and lipid pumps are mixed up •IL runs at 63 ml/hour, instead of 13 ml/hour •What do you need to watch for? Read more about management here

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Central Venous Catheter cuff exposed The central venous catheter dacron cuff is supposed to be underneath the skin, so it can hold the catheter firmly within tunnel. Here we see the catheter malpositioned with the dacron cuff externalized. Purulent discharge from CVC exit site Cellulitis around...