ESPEN practical guideline: Home parenteral nutrition

This guideline will inform physicians, nurses, dieticians, pharmacists, caregivers and other home parenteral nutrition (HPN) providers, as well as healthcare administrators and policy makers, about appropriate and safe HPN provision. This guideline will also inform patients requiring HPN. The guideline is based on previous published guidelines and provides an update of current evidence and expert opinion; it consists of 71 recommendations that address the indications for HPN, central venous access device (CVAD) and infusion pump, infusion catheter and CVAD site care, nutritional admixtures, program monitoring and management. Meta-analyses, systematic reviews and single clinical trials based on clinical questions were searched according to the PICO format. The evidence was evaluated and used to develop clinical recommendations implementing Scottish Intercollegiate Guidelines Network method-ology. The guideline was commissioned and financially supported by ESPEN and members of the guideline group were selected by ESPEN.(c) 2023 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

Automated summary

This guideline provides information and recommendations for healthcare professionals and patients on appropriate and safe home parenteral nutrition (HPN) provision. It is based on previous guidelines and includes 71 recommendations covering various aspects of HPN. The evidence was evaluated and clinical recommendations were developed using the Scottish Intercollegiate Guidelines Network methodology. The guideline was commissioned and supported by ESPEN.