Things that decrease the likelihood of catheter-related complications in TPN patients.

Ultrasound-guided placement of the catheter into the internal jugular vein:  Studies show that ultrasound-guided placement of the catheter into the internal jugular vein is associated with a higher success rate and a lower complication rate during insertion, even among physicians highly experienced in the procedure. Placement of the catheter in the femoral vein is associated with a higher rate of post-insertion complications.
Using chlorhexidine gluconate–impregnated sponges in the catheter dressings significantly decreases major catheter-related infections.

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