ABSTRACT
Home parenteral nutrition (HPN) is the provision of parenteral nutrition (PN) in infants, children, and adults in a non-hospital setting. The goal of HPN is to achieve positive nitrogen balance, weight gain, and to improve clinical outcome in patients who do not have adequate gastrointestinal tract function. Short bowel syndrome is the most frequent condition associated with the need for HPN in pediatric age. Contraindications for HPN include a functional, available gastrointestinal tract, or other extenuating circumstances precluding vascular access and the use of PN. Preparing a patient for HPN involves an experienced and knowledgeable multi-disciplinary health care team, with the physician assuming primary responsibility. Discharge planning and coordination of home care activities should be initiated as soon as it is determined the patient will receive HPN. Complications of HPN are fewer when PN protocols are administered by a team with substantial experience and familiarity with the techniques.
