{"id":7454,"date":"2020-04-14T13:50:53","date_gmt":"2020-04-14T11:50:53","guid":{"rendered":"http:\/\/campusvygon.com\/cl\/?p=7454"},"modified":"2022-01-28T11:20:59","modified_gmt":"2022-01-28T10:20:59","slug":"nutricion-parenteral-y-accesos-vasculares","status":"publish","type":"post","link":"https:\/\/campusvygon.com\/cl\/nutricion-parenteral-y-accesos-vasculares\/","title":{"rendered":"Nutrici\u00f3n parenteral \u00bfQu\u00e9 es y qu\u00e9 acceso vascular elegir?"},"content":{"rendered":"\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-light-green-cyan-background-color has-background\" href=\"http:\/\/campusvygon.com\/cl\/project\/whitepaper-nutricion-parenteral-que-es-y-que-acceso-vascular-elegir\/\"><span class=\"has-inline-color has-white-color\">Descarga en PDF<\/span><\/a><\/div>\n<\/div>\n\n\n\n<div style=\"height:33px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Qu\u00e9 es la<b><span data-contrast=\"auto\"> nutrici\u00f3n parenteral<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h2>\n\n\n\n<p><span data-contrast=\"none\">La nutrici\u00f3n<\/span><span data-contrast=\"none\"> parenteral<\/span><span data-contrast=\"none\"> (<\/span><span data-contrast=\"none\">NP<\/span><span data-contrast=\"none\">) consiste en el<\/span> <strong>suministro de nutrientes como carbohidratos, prote\u00ednas, <\/strong><span data-contrast=\"none\"><strong>grasas, vitaminas, minerales, agua, electrolitos y oligoelementos por v\u00eda intravenosa<\/strong> cuando <\/span><span data-contrast=\"none\">las<\/span><span data-contrast=\"none\"> condiciones de salud <\/span><span data-contrast=\"none\">del paciente no permiten utilizar<\/span><span data-contrast=\"none\"> las v\u00edas digestivas normales<\/span><span data-contrast=\"none\">. El<\/span><span data-contrast=\"none\"> prop\u00f3sito de conservar o mejorar su estado nutricional.&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"none\">Cuando no podemos\u202fadministrar alimentos por un per\u00edodo superior a cinco d\u00edas, debemos aportar nutrientes al organismo por v\u00eda\u202fextradigestiva<\/span><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Estas son algunas de\u202f<\/span><span data-contrast=\"auto\">las causas que nos obligan a recurrir a\u202fla NP:\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">el tracto digestivo no se puede usar<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">de forma temporal<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">o<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">se tiene que dejar en reposo<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">con<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">fines terap\u00e9uticos<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">(cirug\u00eda)<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"2\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"none\">pre<\/span><span data-contrast=\"none\">&#8211;<\/span><span data-contrast=\"none\">cirug<\/span><span data-contrast=\"none\">\u00eda<\/span><span data-contrast=\"none\"> como medida de mejor respuesta a la cirug\u00eda&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"3\" data-aria-level=\"1\"><span data-contrast=\"auto\">la nutrici\u00f3n oral o enteral no cubre<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">de modo<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">suficiente<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">a<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">las<\/span><span data-contrast=\"auto\"> necesidades del paciente<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"4\" data-aria-level=\"1\"><span data-contrast=\"auto\">la nutrici\u00f3n enteral ha fracasado<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"3\" aria-setsize=\"-1\" data-aria-posinset=\"5\" data-aria-level=\"1\"><span data-contrast=\"auto\">la funci\u00f3n digestiva est\u00e1 muy comprometida y\/o la nutrici\u00f3n enteral est\u00e1 prohibida.<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/banner-LP-mobile.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p><a href=\"http:\/\/campusvygon.com\/cl\/accesos-vasculares-media-larga-duracion\/\"> <picture><source srcset=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2021\/04\/banner-LP1.jpg\" media=\"(min-width: 650px)\"> <\/picture> <\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">&nbsp;<b><span data-contrast=\"auto\">Tipos de nutrici\u00f3n parenteral<\/span><\/b><b><span data-contrast=\"auto\">\u202f\u202f<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h4>\n\n\n\n<p><span data-contrast=\"auto\">Se pueden distinguir dos\u202fgrandes categor\u00edas:<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><b><span data-contrast=\"auto\">Nutrici\u00f3n parenteral total<\/span><\/b> <b><span data-contrast=\"none\">(NPT)<\/span><\/b><b><span data-contrast=\"auto\">\u202fo central<\/span><\/b><span data-contrast=\"auto\">: su\u202fosmolaridad es<\/span><span data-contrast=\"auto\">\u202f<\/span><b><span data-contrast=\"auto\">&gt;800mOs\/L<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">por lo que\u202frequiere un\u202f<\/span><b><span data-contrast=\"auto\">acceso venoso central<\/span><\/b><span data-contrast=\"auto\">.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><b><span data-contrast=\"auto\">Nutrici\u00f3n parenteral perif\u00e9rica<\/span><\/b> <b><span data-contrast=\"none\">(NPP)<\/span><\/b><span data-contrast=\"none\">:<\/span><span data-contrast=\"auto\"> su\u202fosmolaridad es<\/span><span data-contrast=\"auto\">\u202f<\/span><b><span data-contrast=\"auto\">&lt;800mOsm\/L<\/span><\/b><span data-contrast=\"auto\">.\u202fEn la<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">mayor\u00eda de los casos no es completa\u202fpor lo que tambi\u00e9n se denomina\u202f<\/span><b><span data-contrast=\"auto\">nutrici\u00f3n\u202fparenteral<\/span><\/b><b><span data-contrast=\"auto\">\u202f<\/span><\/b><b><span data-contrast=\"auto\">parcial<\/span><\/b><b><span data-contrast=\"auto\">\u202f<\/span><\/b><b><span data-contrast=\"auto\">o complementaria<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">ya que\u202fcompleta\u202fla nutrici\u00f3n enteral\/oral.<\/span><span data-contrast=\"none\">\u202f\u202f<\/span><span data-contrast=\"none\">E<\/span><span data-contrast=\"none\">n ocasiones se utiliza por no poder acceder o falta de un acceso <\/span><span data-contrast=\"none\">central <\/span><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">temporalmente<\/span> <span data-contrast=\"none\">(<\/span><span data-contrast=\"none\">e<\/span><span data-contrast=\"none\">ra utilizada por un periodo corto y e<\/span><span data-contrast=\"none\">n la actualida<\/span><span data-contrast=\"none\">d<\/span> <span data-contrast=\"none\">est\u00e1 <\/span><span data-contrast=\"none\">en desuso<\/span><span data-contrast=\"none\">)<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:2115,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Ciclos de 24 horas<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h4>\n\n\n\n<p><span data-contrast=\"auto\">Las soluciones de\u202fnutrici\u00f3n parenteral se preparan\u202fen cabinas de flujo<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">en Farmacia <\/span><span data-contrast=\"none\">de forma total y\/o<\/span> <span data-contrast=\"none\">se a\u00f1ade<\/span><span data-contrast=\"none\">n<\/span><span data-contrast=\"none\"> nutrientes<\/span><span data-contrast=\"none\"> a<\/span><span data-contrast=\"none\"> preparados de laboratorio<\/span><span data-contrast=\"none\">.<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Cuando las infusiones contienen l\u00edpidos,\u202fse deben completar dentro de las 24 horas\u202fo en 12 si se trata de\u202femulsiones de l\u00edpidos administradas solas.\u202f\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Se debe cambiar\u202fel equipo de infusi\u00f3n\u202futilizando la t\u00e9cnica as\u00e9ptica\u202fcada 24 horas,\u202fal iniciar\u202fla bolsa de nutrici\u00f3n parenteral, evitando manipulaciones\u202fdel sistema y extracciones de sangre por el mismo.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Comparaci\u00f3n entre nutrici\u00f3n enteral y nutrici\u00f3n parenteral<\/b><\/h3>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2.jpg\" alt=\"\" class=\"wp-image-7463\" width=\"699\" height=\"948\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2.jpg 1740w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2-221x300.jpg 221w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2-754x1024.jpg 754w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2-768x1043.jpg 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2-1132x1536.jpg 1132w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-enteral-parenteral.V2-1509x2048.jpg 1509w\" sizes=\"(max-width: 699px) 100vw, 699px\" \/><\/figure><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">En qu\u00e9 casos est\u00e1 indicada la NP<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h3>\n\n\n\n<p><span data-contrast=\"auto\">Adem\u00e1s de en los casos en que se lleva a cabo una cirug\u00eda<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">digestiva, la NP tambi\u00e9n est\u00e1 indicada<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">en patolog\u00edas que incluyen pacientes de casi todos los servicios hospitalarios.\u202f\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Sin\u202fembargo,\u202flas unidades que m\u00e1s recurren a este tipo de alimentaci\u00f3n son las de<\/span> <span data-contrast=\"none\">Cirug\u00eda<\/span><span data-contrast=\"auto\">\u202fCuidados\u202fIntensivos,\u202fMedicina Interna, Oncolog\u00eda\u202fy\u202f<\/span><span data-contrast=\"auto\">Gastroenterolog\u00eda.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"none\">La indicaci\u00f3n principal es el <\/span><span data-contrast=\"none\">fallo&nbsp; intestinal<\/span><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Entre las patolog\u00edas m\u00e1s frecuentes est\u00e1n:\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span data-contrast=\"auto\">Patologia<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">oral y<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">faringo-laringea<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">Patolog\u00eda<\/span><span data-contrast=\"auto\">\u202fdigestiva m\u00e9dica<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"none\">malabsorcion<\/span><\/li><li><span data-contrast=\"none\">Intestino corto,<\/span><span data-contrast=\"none\">fistula intestinal, obstrucci\u00f3n mec\u00e1nica<\/span><span data-contrast=\"none\">dismotilidad<\/span><span data-contrast=\"none\"> intestinal&nbsp;<\/span><\/li><li><span data-contrast=\"none\">Enfermedad extensa de la mucosa del intestino <\/span><\/li><li><span data-contrast=\"auto\">Enfermedades<\/span><span data-contrast=\"auto\">neurol\u00f3gicas<\/span><span data-contrast=\"auto\">medicas o<\/span><span data-contrast=\"auto\">quir\u00fargicas<\/span><\/li><li><span data-contrast=\"auto\">Estados<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">hipercatabolicos<\/span><span data-contrast=\"auto\">\u202f\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><\/ul>\n\n\n\n<p><span data-contrast=\"auto\">Otras patolog\u00edas:<\/span><span data-contrast=\"auto\">\u202f\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span data-contrast=\"auto\">Anorexias<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">caquectizantes<\/span><span data-contrast=\"auto\">\u202f\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">Enfermos con intubaci\u00f3n oro-nasotraqueal<\/span><\/li><li><span data-contrast=\"auto\">Enfermedades subagudas o cr\u00f3nicas, durante las que el enfermo ingiere muy por debajo<\/span><span data-contrast=\"auto\">de<\/span><span data-contrast=\"auto\">sus\u202frequerimientos<\/span><span data-contrast=\"auto\">(tuberculosis pulmonar, desnutrici\u00f3n en el SIDA; etc.)<\/span><\/li><li><span data-contrast=\"auto\">Neoplasias, principalmente en tratamiento<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/li><\/ul>\n\n\n\n<p><span data-contrast=\"none\">No <\/span><span data-contrast=\"none\">est\u00e1<\/span><span data-contrast=\"none\"> recomendada en pacientes con enfermedad incurable con expectativa de vida corta&nbsp; <\/span><span data-contrast=\"none\">se<\/span><span data-contrast=\"none\">gun<\/span><span data-contrast=\"none\"> ESPEN <\/span><span data-contrast=\"none\">Guidelines<\/span><span data-contrast=\"none\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:240,&quot;335559740&quot;:259}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">En funci\u00f3n del estado nutricional del paciente, el equipo multidisciplinar podr\u00e1 decidir del tipo de nutrici\u00f3n a poner en marcha.<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Como ejemplo de la aplicaci\u00f3n\u202f<\/span><b><span data-contrast=\"auto\">en oncolog\u00eda<\/span><\/b><span data-contrast=\"auto\">, el<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u00e1rbol<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">de decisi\u00f3n<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">nutricional<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">puede ser el<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">siguiente:<\/span><span data-contrast=\"auto\">\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<div class=\"wp-block-image wp-image-7459\"><figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"655\" height=\"455\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Decisi\u00f3n-nutrici\u00f3n-parenteral.V2.jpg\" alt=\"Decisi\u00f3n nutricional parenteral en pacientes oncol\u00f3gicos\" class=\"wp-image-7459\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Decisi\u00f3n-nutrici\u00f3n-parenteral.V2.jpg 655w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Decisi\u00f3n-nutrici\u00f3n-parenteral.V2-300x208.jpg 300w\" sizes=\"(max-width: 655px) 100vw, 655px\" \/><figcaption>Algoritmo intervenci\u00f3n nutricional en oncolog\u00eda.\u202fCap\u00edtulo XII Soporte Nutricional en el Paciente\u202fOncol\u00f3gico Nutrici\u00f3n parenteral.\u202fS. Celaya P\u00e9rez Hospital Cl\u00ednico de Zaragoza<\/figcaption><\/figure><\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">\u202f<\/span><\/b><b><span data-contrast=\"auto\">Accesos vasculares para su administraci\u00f3n<\/span><\/b><\/h3>\n\n\n\n<p><span data-contrast=\"auto\">Seg\u00fan\u202fsu composici\u00f3n, la nutrici\u00f3n parenteral puede administrarse por v\u00eda<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">perif\u00e9rica<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">o central.<\/span><span data-contrast=\"auto\">\u202f\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Administraci\u00f3n por v\u00eda<\/span><\/b><b><span data-contrast=\"auto\">\u202f<\/span><\/b><b><span data-contrast=\"auto\">perif\u00e9rica<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h4>\n\n\n\n<p><span data-contrast=\"auto\">Los <\/span><b><span data-contrast=\"auto\">cat\u00e9teres cortos<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">se<\/span><span data-contrast=\"auto\"> insertan en el antebrazo. Son los m\u00e1s extendidos y su t\u00e9cnica es ampliamente conocida por enfermer\u00eda.<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Su uso es temporal<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">para una nutrici\u00f3n parenteral parcial (de pH y osmolaridad compatibles con la perfusi\u00f3n por venas perif\u00e9ricas) que<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">viene a completar una nutrici\u00f3n enteral<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">o porque el paciente no puede tener una v\u00eda central.<\/span><span data-contrast=\"auto\">\u202f\u202f\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><b><span data-contrast=\"auto\">Ventajas<\/span><\/b><span data-contrast=\"auto\">:\u202fse trata de una\u202ft\u00e9cnica f\u00e1cil y se puede retirar una vez que la administraci\u00f3n ha terminado.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><b><span data-contrast=\"auto\">Inconvenientes<\/span><\/b><span data-contrast=\"auto\">:<\/span> <span data-contrast=\"none\">flebitis continuada<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> necesidad de cambio de <\/span><span data-contrast=\"none\">v\u00eda<\/span><span data-contrast=\"none\"> cada 24<\/span><span data-contrast=\"none\">h<\/span> <span data-contrast=\"none\">(<\/span><span data-contrast=\"none\">irritaci\u00f3n del endotelio<\/span><span data-contrast=\"none\">)<\/span><span data-contrast=\"none\">, como consecuencia<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"auto\"> la<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">multipunci\u00f3n<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">destruye el capital venoso<\/span><span data-contrast=\"auto\">. Este acceso<\/span> <span data-contrast=\"none\">no<\/span><span data-contrast=\"none\"> es<\/span><span data-contrast=\"none\"> recomendable<\/span><span data-contrast=\"none\">,<\/span> <span data-contrast=\"none\">especialmente<\/span><span data-contrast=\"auto\">\u202fen atenci\u00f3n domiciliaria\u202fpor el alto riesgo de retirada accidental.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignright is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-parenteral-300x201.png\" alt=\"Nutrici\u00f3n parenteral\" class=\"wp-image-7464\" width=\"345\" height=\"231\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-parenteral-300x201.png 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Nutrici\u00f3n-parenteral.png 577w\" sizes=\"(max-width: 345px) 100vw, 345px\" \/><\/figure><\/div>\n\n\n\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"> <\/span><\/p>\n\n\n\n<p><span data-contrast=\"none\">E<\/span><span data-contrast=\"none\">n la actualidad <\/span><span data-contrast=\"none\">la alternativa al cat\u00e9ter corto para terapias &gt;3-6 d\u00edas es <\/span><a href=\"http:\/\/campusvygon.com\/cl\/mini-midline-linea-media\/\"><span data-contrast=\"none\">el <\/span><span data-contrast=\"none\">mini-midline<\/span><span data-contrast=\"none\"> o el <\/span><span data-contrast=\"none\">midline<\/span><\/a><i><span data-contrast=\"auto\">. <\/span><\/i><span data-contrast=\"none\">Son accesos vasculares con recorrido cl\u00ednico y respaldo cient\u00edfico que, al acceder a venas de mayor calibre (bas\u00edlica, braquial, cef\u00e1lica) permiten un tratamiento de media duraci\u00f3n con un m\u00ednimo de complicaciones.<\/span> <span data-contrast=\"none\">Por tratarse de<\/span><span data-contrast=\"none\"> una v\u00eda perif\u00e9rica<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> se <\/span><span data-contrast=\"none\">deben <\/span><span data-contrast=\"none\">cumplir <\/span><span data-contrast=\"none\">los requisitos de<\/span><span data-contrast=\"none\"> la perfusi\u00f3n perif\u00e9rica<\/span> <span data-contrast=\"none\">(<\/span><span data-contrast=\"none\">osmolaridad<\/span><span data-contrast=\"none\"> y<\/span><span data-contrast=\"none\"> PH<\/span><span data-contrast=\"none\">).<\/span> <span data-contrast=\"none\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Administraci\u00f3n por v\u00eda central<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h3>\n\n\n\n<p><span data-contrast=\"auto\">Se requiere este tipo de administraci\u00f3n\u202fpara la nutrici\u00f3n parenteral de media larga duraci\u00f3n<\/span> <span data-contrast=\"none\">y\/o<\/span><span data-contrast=\"none\"> total <\/span><span data-contrast=\"none\">(<\/span><span data-contrast=\"none\">NPT<\/span><span data-contrast=\"none\">).<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><span data-contrast=\"auto\">V\u00edas de elecci\u00f3n<\/span><span data-contrast=\"auto\">:<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h5>\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"http:\/\/campusvygon.com\/cl\/picc-monolumen-o-bilumen\/\"><b><span data-contrast=\"none\">PICC<\/span><\/b><\/a><i><span data-contrast=\"auto\">:<\/span><\/i><span data-contrast=\"auto\">\u202f\u202fen los a\u00f1os 2000 con el desarrollo del uso del PICC, su aplicaci\u00f3n para la nutrici\u00f3n parenteral quedaba limitada al corto plazo. Hoy en d\u00eda gracias a la perspectiva m\u00e1s amplia existente sobre la administraci\u00f3n de NPT a trav\u00e9s del PICC y la mejora de los\u202fmateriales,\u202fas\u00ed como de los protocolos, se puede considerar una opci\u00f3n v\u00e1lida siendo clave la inserci\u00f3n y el mantenimiento del cat\u00e9ter por unos profesionales espec\u00edficamente formados.<\/span> <span data-contrast=\"none\">Hoy en d\u00eda el PICC es recurso totalmente v\u00e1lido y recomendado para la NPT de larga duraci\u00f3n siendo preferible con tunelizaci\u00f3n, que\u202fpermite una mejor fijaci\u00f3n, factor determinante en\u202fla\u202fnutrici\u00f3n parenteral de larga\u202fduraci\u00f3n;\u202fpero,\u202fadem\u00e1s,\u202fal alejar el punto de salida del cat\u00e9ter\u202fdel punto de entrada en vena, disminuye el riesgo de infecci\u00f3n.\u202f\u202f\u202f<\/span><\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><span data-contrast=\"none\"> <\/span><\/p>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/02\/picc-easy.jpg\" alt=\"picc-easy\" class=\"wp-image-7370\" width=\"552\" height=\"275\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/02\/picc-easy.jpg 1024w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/02\/picc-easy-300x150.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/02\/picc-easy-768x384.jpg 768w\" sizes=\"(max-width: 552px) 100vw, 552px\" \/><\/figure><\/div>\n\n\n\n<p><span data-contrast=\"auto\"><\/span><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hickman<\/strong>: es una v\u00eda de elecci\u00f3n desde hace muchos a\u00f1os. Al ser un cat\u00e9ter con parte externa, no requiere pinchazos (como el PICC)\u202fy adem\u00e1s viene con un anillo o manguito de\u202fDacron\u202fque permite una excelente fijaci\u00f3n (los tejidos\u202fsubcut\u00e1neos\u202fadhieren a \u00e9l) especialmente indicado para la nutrici\u00f3n parenteral de larga duraci\u00f3n. Su colocaci\u00f3n requiere un equipo especializado (quir\u00f3fano o radiolog\u00eda intervencionista)\u202f\u202f<\/p>\n\n\n\n<div style=\"height:51px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman.jpg\" alt=\"Hickman\" class=\"wp-image-7460\" width=\"523\" height=\"286\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman.jpg 2513w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman-300x164.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman-1024x560.jpg 1024w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman-768x420.jpg 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman-1536x840.jpg 1536w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Hickman-2048x1121.jpg 2048w\" sizes=\"(max-width: 523px) 100vw, 523px\" \/><\/figure><\/div>\n\n\n\n<h5 class=\"wp-block-heading\"><span data-contrast=\"auto\">V\u00eda<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">relativa<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">:<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h5>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Muthicath-2.jpg\" alt=\"Multicath 2\" class=\"wp-image-7462\" width=\"355\" height=\"266\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Muthicath-2.jpg 737w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Muthicath-2-300x225.jpg 300w\" sizes=\"(max-width: 355px) 100vw, 355px\" \/><\/figure><\/div>\n\n\n\n<p><b><span data-contrast=\"auto\">Cat\u00e9ter central de inserci\u00f3n central<\/span><\/b><span data-contrast=\"auto\">: por acceso subclavia es un cat\u00e9ter que puede ser indicado para los pacientes con NPT<\/span> <span data-contrast=\"none\">(usado en <\/span><span data-contrast=\"none\">UCI<\/span><span data-contrast=\"none\">s<\/span><span data-contrast=\"auto\">). <\/span><span data-contrast=\"auto\">Se recomienda que sea tunelizado. Pero es un cat\u00e9ter en desuso por su duraci\u00f3n (de 4 semanas) y su riesgo m\u00e1s elevado de complicaciones. El acceso femoral es contraindicado ya que el riesgo de infecci\u00f3n es muy elevado.<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:1035,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:2,&quot;335551620&quot;:2,&quot;335559685&quot;:360,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h5 class=\"wp-block-heading\"><span data-contrast=\"auto\">V\u00eda contraindicada:<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h5>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><b><span data-contrast=\"auto\">Reservorio<\/span><\/b><span data-contrast=\"auto\">.\u202f\u202f<img loading=\"lazy\" decoding=\"async\" class=\"wp-image-7466 alignright\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Reservorio.jpg\" alt=\"Reservorio\" width=\"321\" height=\"261\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Reservorio.jpg 1650w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Reservorio-300x243.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Reservorio-1024x830.jpg 1024w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Reservorio-768x623.jpg 768w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Reservorio-1536x1246.jpg 1536w\" sizes=\"(max-width: 321px) 100vw, 321px\" \/>Durante\u202fa\u00f1os\u202fse ha considerado\u202funa v\u00eda alternativa para nutrici\u00f3n de larga duraci\u00f3n, por tratarse de\u202fun dispositivo totalmente implantado.\u202fSin embargo,\u202f\u00faltimamente se est\u00e1 revisando la pertinencia de este acceso\u202fpara la administraci\u00f3n de\u202fNPT\u202fya que al ser esta\u202fcontinua:<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1125,&quot;335559731&quot;:285,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">la aguja del reservorio tiene que cambiarse cada d<\/span><span data-contrast=\"auto\">\u00ed<\/span><span data-contrast=\"auto\">a y la membrana no puede aguantar tantas punciones durante toda la duraci\u00f3n <\/span><span data-contrast=\"auto\">de la nutrici\u00f3n<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1800,&quot;335559731&quot;:315,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" aria-setsize=\"-1\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">el paciente<\/span><span data-contrast=\"auto\"> de domiciliaria,\u202fal tener movilidad,\u202f<\/span><span data-contrast=\"none\">la <\/span><span data-contrast=\"none\">fijaci\u00f3n de la aguja<\/span><span data-contrast=\"none\"> es m\u00e1s dif\u00edcil y<\/span> <span data-contrast=\"auto\">tiene m\u00e1s riesgo de extravasaci\u00f3n&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1800,&quot;335559731&quot;:315,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"12\" aria-setsize=\"-1\" data-aria-posinset=\"2\" data-aria-level=\"1\"><span data-contrast=\"auto\">el propio reservorio representa\u202fun riesgo m\u00e1s elevado\u202fde infecci\u00f3n comparado con otros cat\u00e9teres centrales en caso de residuos de NPT (en pocos casos un reservorio se puede salvar con antibioterapia una vez infectado).<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1800,&quot;335559731&quot;:315,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Venas de elecci\u00f3n<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/h3>\n\n\n\n<p><span data-contrast=\"auto\">No existe mucha literatura sobre las venas de acceso en general pero s\u00ed sobre la vena donde tiene que quedar la punta del cat\u00e9ter en el caso de cat\u00e9teres centrales de cualquier tipo y reservorios:\u202fdebe situarse\u202fsiempre en\u202f<\/span><b><span data-contrast=\"auto\">vena cava superior<\/span><\/b><span data-contrast=\"auto\">\u202fpara aprovechar el flujo que\u202festa\u202fprovee (2,5L\/min).<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">En el pasado,\u202flas venas elegidas para la inserci\u00f3n de los cat\u00e9teres<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">destinados a la nutrici<\/span><span data-contrast=\"auto\">\u00f3<\/span><span data-contrast=\"auto\">n parenteral se sol<\/span><span data-contrast=\"auto\">\u00ed<\/span><span data-contrast=\"auto\">an elegir por su calibre (subclavia, yugular femoral).<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Pero en e<\/span><span data-contrast=\"auto\">ste <\/span><a href=\"http:\/\/espen.info\/documents\/0909\/Central%20Venous%20Catheters.pdf\"><span data-contrast=\"none\">estudio de ESPEN sobre <\/span><span data-contrast=\"none\">CVCs<\/span><\/a><span data-contrast=\"auto\">\u202fse puntualiza:<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n<p>[infobox]<strong><i>La elecci\u00f3n de la vena se ve afectada por varios factores, entre ellos la t\u00e9cnica de venopunci\u00f3n, el riesgo de complicaciones mec\u00e1nicas conexas, la viabilidad de un correcto cuidado del punto de inserci\u00f3n del cat\u00e9ter y el riesgo de complicaciones tromb\u00f3ticas e infecciosas. No se recomienda el empleo de la vena yugular interna (ya sea anterior o posterior al m\u00fasculo esternoclavicular) para la NP, ya que la zona de salida es dif\u00edcil de cuidar y, por lo tanto, existe un alto riesgo de contaminaci\u00f3n del cat\u00e9ter y de infecci\u00f3n relacionada con \u00e9ste.<\/i><\/strong>[\/infobox]<\/p>\n\n\n\n<p><span data-contrast=\"none\">Como<\/span><span data-contrast=\"none\"> hemos<\/span><span data-contrast=\"none\"> visto anteriormente<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> t<\/span><span data-contrast=\"none\">ampoco se recom<\/span><span data-contrast=\"none\">ienda<\/span><span data-contrast=\"none\"> la femoral<\/span><span data-contrast=\"none\"> por el elevado riesgo de infecci\u00f3n que supone.<\/span><span data-contrast=\"none\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335551550&quot;:6,&quot;335551620&quot;:6,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Complicaciones<\/span><\/b><\/h2>\n\n\n\n<p><span data-contrast=\"auto\">Ante todo, es muy conocido el alto riesgo de\u202f<\/span><b><span data-contrast=\"auto\">contaminaci\u00f3n\u202f<\/span><\/b><span data-contrast=\"auto\">que tiene la nutrici\u00f3n parenteral.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Para evitarla, la nutrici\u00f3n parenteral\u202fno debe almacenarse a temperatura ambiente\u202fporque favorece el crecimiento bacteriano.\u202fTampoco debe congelarse.\u202f\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Las soluciones de NPT suelen contener dextrosa y emulsiones de amino\u00e1cidos o de l\u00edpidos, lo que puede provocar un\u202fdesarrollo\u202fmicrobiano.\u202f<\/span><b><span data-contrast=\"auto\">Por tanto, se recomienda que no se utilice la l\u00ednea de administraci\u00f3n para otra finalidad que no sea la administraci\u00f3n de NPT.\u202f<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">L<\/span><span data-contrast=\"auto\">as complicaciones de forma general se pueden resumir en 2 categor\u00edas:\u202f<\/span><\/p>\n\n\n\n<p><b><span data-contrast=\"auto\">Nutricionales<\/span><\/b><b><span data-contrast=\"auto\">\u202f<\/span><\/b><span data-contrast=\"auto\">y\u202f<\/span><b><span data-contrast=\"auto\">Metab\u00f3licas:<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Debidas un<\/span><span data-contrast=\"auto\">a\u202finadecuaci\u00f3n<\/span><span data-contrast=\"auto\"> o<\/span><span data-contrast=\"auto\">\u202fdesequilibrio\u202fen\u202f<\/span><b><span data-contrast=\"auto\">macronutrientes\u202f<\/span><\/b><span data-contrast=\"auto\">o\u202f<\/span><b><span data-contrast=\"auto\">electrolitos\u202f<\/span><\/b><span data-contrast=\"auto\">en\u202flos aportes parenterales. Una alteraci\u00f3n de la funci\u00f3n <\/span><span data-contrast=\"none\">hepatobiliar<\/span><span data-contrast=\"none\"> y de la funci\u00f3n renal<\/span><span data-contrast=\"none\">,<\/span><span data-contrast=\"none\"> entre otras<\/span><span data-contrast=\"auto\">,<\/span><span data-contrast=\"auto\"> puede tener un efecto negativo sobre este equilibrio<\/span><span data-contrast=\"auto\">.<\/span><span data-contrast=\"auto\">&nbsp;<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:709,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><b><span data-contrast=\"auto\">Relacionadas con el cat\u00e9ter<\/span><\/b><span data-contrast=\"auto\">:\u202f\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:360,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><span data-contrast=\"auto\">complicaciones\u202f<\/span><b><span data-contrast=\"auto\">mec\u00e1nicas\u202frelacionadas con la t\u00e9cnica de inserci\u00f3n\u202f<\/span><\/b><span data-contrast=\"auto\">como el\u202fhemot\u00f3rax\u202fy\u202fneumot\u00f3rax\u202f<\/span><span data-contrast=\"none\">(en\u202fv\u00edas\u202fcentrales<\/span><span data-contrast=\"none\"> de inserci\u00f3n central),<\/span> <b><span data-contrast=\"none\">trombosis<\/span><\/b><span data-contrast=\"none\"> por mala elecci\u00f3n de la vena (di\u00e1metro)<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">o con el\u202f<\/span><b><span data-contrast=\"auto\">mantenimiento\u202f<\/span><\/b><span data-contrast=\"auto\">del cat\u00e9ter\u202fcomo la\u202foclusi\u00f3n\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/li><li><span data-contrast=\"auto\">\u202fcomplicaciones\u202f<\/span><b><span data-contrast=\"auto\">infecciosas\u202f<\/span><\/b><span data-contrast=\"auto\">como la sepsis.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559685&quot;:1080,&quot;335559731&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/li><\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><b><span data-contrast=\"auto\">Recordatorios sobre el posible origen de infecci\u00f3n relacionada con cateterismo<\/span><\/b><span data-contrast=\"auto\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-7461\" src=\"http:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Infecci\u00f3n-cateterismoMANO.jpg\" alt=\"Infevci\u00f3n cateterismo\" width=\"299\" height=\"284\" srcset=\"https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Infecci\u00f3n-cateterismoMANO.jpg 432w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Infecci\u00f3n-cateterismoMANO-300x285.jpg 300w, https:\/\/campusvygon.com\/cl\/wp-content\/uploads\/sites\/2\/2020\/04\/Infecci\u00f3n-cateterismoMANO-52x50.jpg 52w\" sizes=\"(max-width: 299px) 100vw, 299px\" \/><\/span><\/h4>\n\n\n\n<p><b><span data-contrast=\"auto\">Contaminaci\u00f3n\u202f<\/span><\/b><b><span data-contrast=\"auto\">extraluminal<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Los microorganismos migran desde la piel colonizada, penetran<\/span><span data-contrast=\"auto\">do<\/span><span data-contrast=\"auto\"> en la cara externa de los cat\u00e9teres. Contaminaci\u00f3n del sitio de inserci\u00f3n, en cat\u00e9teres de menos de 10 d\u00edas de instalaci\u00f3n.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><b><span data-contrast=\"auto\">Contaminaci\u00f3n intraluminal<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Desde las conexiones colonizadas o infusiones contaminadas. Contaminaci\u00f3n de las conexiones, en cat\u00e9teres de m\u00e1s de 30 d\u00edas de instalaci\u00f3n.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><b><span data-contrast=\"auto\">Contaminaci\u00f3n por v\u00eda hemat\u00f3gena\u202f<\/span><\/b><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Desde un foco de infecci\u00f3n distante.\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">Con el objetivo de prevenir la bacteriemia relacionada con el cat\u00e9ter, se debe controlar que no se produzcan infecciones. Para ello se debe adoptar un protocolo que gu\u00ede la pr\u00e1ctica en el manejo de las infusiones, el cambio de las l\u00edneas de infusi\u00f3n y el cuidado de los puntos de salida del cat\u00e9ter<\/span><span data-contrast=\"auto\">.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span><\/p>\n\n\n\n<p><span data-contrast=\"auto\">La inserci\u00f3n y manipulaci\u00f3n deben producirse en condiciones de esterilidad. Adem\u00e1s,<\/span><span data-contrast=\"none\">&nbsp;la correcta elecci\u00f3n de la vena y la inserci\u00f3n <\/span><span data-contrast=\"none\">ecoguiada<\/span><span data-contrast=\"none\"> del DAV (<\/span><span data-contrast=\"none\">seg\u00fan recomiendan <\/span><span data-contrast=\"none\">las <\/span><span data-contrast=\"none\">gu\u00edas<\/span><span data-contrast=\"none\">)&nbsp;<\/span><span data-contrast=\"none\">son la mejor manera de prevenir<\/span><span data-contrast=\"none\"> complicaciones.<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\"><br><\/span><\/p>\n\n\n\n<p><strong>Si quieres saber m\u00e1s sobre este tema, no dudes en hacer un comentario abajo e intentaremos ayudarte.<\/strong><\/p>\n\n\n\n<p><strong>Tranquil@, esto NO es una lista de SPAM.&nbsp; SOLO utilizaremos tus datos para responder a las preguntas que nos hagas.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bibliografia <\/h2>\n\n\n\n<p><span data-contrast=\"none\">&#8211;<\/span><a href=\"http:\/\/scielo.isciii.es\/scielo.php?script=sci_arttext&amp;pid=S0212-16112018000100224\"><span data-contrast=\"none\">Soporte nutricional y nutrici\u00f3n parenteral en el paciente oncol\u00f3gico: informe de consenso de un grupo de expertos<\/span><\/a><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">Miguel<\/span><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">Camblor<\/span><span data-contrast=\"none\">&#8211;<\/span><span data-contrast=\"none\">\u00c1<\/span><span data-contrast=\"none\">lvarez<\/span> <span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">et<\/span><span data-contrast=\"none\"> Al.<\/span><span data-contrast=\"none\">\u202ffeb.\u202f2018\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"none\">&#8211;<\/span><a href=\"http:\/\/scielo.isciii.es\/scielo.php?script=sci_arttext&amp;pid=S0212-16112007000800010\"><span data-contrast=\"none\">Documento de consenso SENPE\/SEGHNP\/SEFH sobre nutrici\u00f3n parenteral pedi\u00e1trica<\/span><\/a><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">\u202f\u202f<\/span><span data-contrast=\"none\">P. Gomis Mu\u00f1oz et\u202f<\/span><span data-contrast=\"none\">Al.<\/span><span data-contrast=\"none\">dic<\/span><span data-contrast=\"none\">.\u202f2007\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"auto\">&#8211;<\/span><a href=\"https:\/\/www.sspa.juntadeandalucia.es\/servicioandaluzdesalud\/hrs3\/fileadmin\/user_upload\/area_enfermeria\/enfermeria\/procedimientos\/procedimientos_2012\/c2_alimentacion_parenteral.pdf\"><span data-contrast=\"none\">Manual de\u202fprotocolos y procedimientos\u202fgenerales\u202fde\u202fenfermer\u00eda\u202fdel Hospital Universitario Reina Sof\u00eda de C\u00f3rdoba.\u202fAlimentaci\u00f3n parenteral.<\/span><\/a><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"auto\">Atance<\/span><span data-contrast=\"auto\">\u202fHern\u00e1ndez,\u202fAmelia\u202fet Al.\u202fmar 2010\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"auto\">&#8211;<\/span><span data-contrast=\"auto\">\u202f<\/span><a href=\"http:\/\/scielo.isciii.es\/scielo.php?script=sci_arttext&amp;pid=S0212-16112011000100023\"><span data-contrast=\"none\">Indicaciones no quir\u00fargicas de la nutrici\u00f3n parenteral perif\u00e9rica.\u202fA.\u202f<\/span><span data-contrast=\"none\">Ay\u00facar<\/span><span data-contrast=\"none\">\u202fRuiz de\u202fGalarreta<\/span><\/a><span data-contrast=\"none\">\u202f<\/span><span data-contrast=\"none\">et Al.\u202ffeb\u202f2011<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"none\">&#8211;<\/span><a href=\"http:\/\/espen.info\/documents\/0909\/Central%20Venous%20Catheters.pdf\"><span data-contrast=\"none\">ESPEN <\/span><span data-contrast=\"none\">Guidelineson<\/span><span data-contrast=\"none\"> Parenteral <\/span><span data-contrast=\"none\">Nutrition<\/span><span data-contrast=\"none\">: Central <\/span><span data-contrast=\"none\">VenousCatheters<\/span><span data-contrast=\"none\"> (<\/span><span data-contrast=\"none\">access<\/span><span data-contrast=\"none\">, <\/span><span data-contrast=\"none\">care<\/span><span data-contrast=\"none\">, diagnosis and <\/span><span data-contrast=\"none\">therapyofcomplications<\/span><span data-contrast=\"none\">)<\/span><\/a><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">Mauro\u202f<\/span><span data-contrast=\"auto\">Pittiruti<\/span><span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">et Al.\u202f<\/span><span data-contrast=\"auto\">mar 2009\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"auto\">&#8211;<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9016135\"><span data-contrast=\"none\">Safety and efficacy of total parenteral nutrition delivered via a peripherally inserted central venous catheter<\/span><\/a><span data-contrast=\"auto\">.\u202f<\/span><span data-contrast=\"none\">A<\/span><span data-contrast=\"none\">lhimyary<\/span><span data-contrast=\"none\">\u202fA<\/span><span data-contrast=\"auto\">1<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Fernandez C<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Picard M<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Tierno<\/span><span data-contrast=\"none\">\u202fK<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Pignatone<\/span><span data-contrast=\"none\">\u202fN<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Chan HS<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Malt R<\/span><span data-contrast=\"auto\">,\u202f<\/span><span data-contrast=\"none\">Souba<\/span><span data-contrast=\"none\">\u202fW<\/span><span data-contrast=\"auto\">.<\/span><b><span data-contrast=\"auto\">\u202f<\/span><\/b><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"none\">&#8211;<\/span><a href=\"https:\/\/www.youtube.com\/watch?v=_-shgVR6YEE\"><span data-contrast=\"none\">NUTRICI\u00d3N PARENTERAL. GENERALIDADES Y PREPARACI\u00d3N. Mar\u00eda Jos\u00e9 Cao Torija. Profesora de Nutrici\u00f3n y Diet\u00e9tica. Facultad de Enfermer\u00eda. Universidad de Valladolid.<\/span><\/a><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"none\">&#8211;<\/span><a href=\"https:\/\/www.youtube.com\/watch?v=YBhCiyaoo80\"><span data-contrast=\"none\">NUTRICI\u00d3N PARENTERAL. ADMINISTRACI\u00d3N Y CONTROL. Mar\u00eda Jos\u00e9 Cao Torija. Profesora de Nutrici\u00f3n y Diet\u00e9tica. Facultad de Enfermer\u00eda. Universidad de Valladolid.<\/span><\/a><span data-contrast=\"auto\">\u202f<\/span><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"auto\">\u202f<\/span><span data-contrast=\"auto\">&#8211;<\/span><a href=\"https:\/\/www.sefh.es\/sefhpublicaciones\/documentos\/58-congreso\/multiusos2-22-JimenaAbiles.pdf\"><span data-contrast=\"none\">Complicaciones de la Nutrici\u00f3n Parenteral. Jimena Abil\u00e9s<\/span><span data-contrast=\"none\">. Oct. 2013<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"auto\">&#8211;<\/span><a href=\"http:\/\/scielo.isciii.es\/scielo.php?script=sci_arttext&amp;pid=S0212-16112005000600006\"><span data-contrast=\"none\">Estudio multic\u00e9ntrico de incidencia de las complicaciones de la nutrici\u00f3n parenteral total en el paciente grave. Estudio ICOMEP 1\u00aa parte A. Bonet. Ago 2005<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span> <span data-contrast=\"auto\">&#8211;<\/span><a href=\"http:\/\/www.otecasista.cl\/wp-content\/uploads\/sites\/2\/2017\/09\/3.-Infeccion-del-Torrente-Sanguineo.pdf\"><span data-contrast=\"none\">INFECCIONES DEL TORRENTE SANGUINEO EU Cristian Y\u00e1\u00f1ez A.<\/span><\/a><span data-ccp-props=\"{&quot;201341983&quot;:0,&quot;335559739&quot;:160,&quot;335559740&quot;:240}\">&nbsp;<\/span>[\/accordion]<\/p>\n\n\n\n<p><span data-contrast=\"auto\">\u202f<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Qu\u00e9 es la nutrici\u00f3n parenteral\u202f&nbsp; La nutrici\u00f3n parenteral (NP) consiste en el suministro de nutrientes como carbohidratos, prote\u00ednas, grasas, vitaminas, minerales, agua, electrolitos y oligoelementos por v\u00eda intravenosa cuando las condiciones de salud del paciente no permiten utilizar las v\u00edas digestivas normales. El prop\u00f3sito de conservar o mejorar su estado nutricional.&nbsp;&nbsp; Cuando no podemos\u202fadministrar alimentos [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":7542,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[116],"tags":[87,284,75,435],"class_list":["post-7454","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-terapias-intravasculares","tag-nutricion-enteral","tag-nutricion-parenteral","tag-picc","tag-tipos-de-nutricion-parenteral"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nutrici\u00f3n parenteral \u00bfQu\u00e9 es y qu\u00e9 acceso vascular elegir? - Campus Vygon Chile<\/title>\n<meta name=\"description\" content=\"La nutrici\u00f3n parenteral (NP) consiste en el suministro de nutrientes por v\u00eda intravenosa cuando las condiciones de salud del paciente no permiten utilizar las v\u00edas digestivas normales.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/campusvygon.com\/cl\/nutricion-parenteral-y-accesos-vasculares\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nutrici\u00f3n parenteral \u00bfQu\u00e9 es y qu\u00e9 acceso vascular elegir? 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