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Vascular Access Selection
and Management
© 2019 ASPEN | American Society for Parenteral and Enteral Nutrition. All Rights Reserved. Vascular Access for PN Administration
• Placement of central venous access devices (CVAD) associated with
adverse events, even in the absence of PN1
• CLABSI associated with prolonged hospital LOS and higher cost of
hospitalization1,2
o Median estimated cost savings per one prevented CLABSI: $42,609 (IQR
19,000–46,739)2
• Use of “care bundles” has been associated with sustained reduction in
rate of CLABSI1,2,3
1. O’Grady NP. Guidelines for the prevention of intravascular catheter-related infections. Am J Infect Control. 2011;39;S1-S34.
2. Ista E. Lancet Infect Dis 2016;16: 724–34
3. Marschall. Strategies to prevent central line-associated bloodstream infections in acute care hospitals:2014 update. Infect
Control Hosp Epidemiol.2014;35(7):753-771.
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