Total parenteral nutrition is a lot of work
Total parenteral nutrition is a lot of work. Patients require
regular monitoring of electrolytes and other blood markers.
Central lines are needed for all but very short term use.
Liaison with nursing staff and dietetics is essential. It is
difficult for all involved but it can be an important bridge
for those with temporary problems affecting the gut and a life
line for those with permanent problems. To read that it is
used inappropriately is worrying and thankfully not my
experience. Like many problems in healthcare education is the
key. Basic training, perhaps in the form of a BMJ learning
module, in this key area would be welcomed by junior doctors
involved in the care of patients requiring this treatment.
Competing interests: No competing interests