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March 1973

Intravenous Hyperalimentation

Arch Surg. 1973;106(3):363. doi:10.1001/archsurg.1973.01350150097028

To the Editor.—In a recent issue of the Archives (105:414, 1972), Drs. Vogel, Kingsbury, and Baue commented that hyperalimentation solutions must not be given through a catheter into a peripheral vein due to an increased occurrence of infection and chemical phlebitis. The authors also discount the use of an in-line filter during the infusion of these fluids.

In reporting on the use of hyperalimentation solutions via peripheral veins in infants, Benda and Babson1 maintain that the peripheral veins are easily accessible for infusion in smaller infants, whereas placement of central venous catheters may be difficult and even hazardous. The average duration of needle placement was approximately two days with the use of hyperalimentation solutions. Local inflammation around the needle site was rarely seen. A more recent report has substantiated these findings. In their study, Wei et al2 found that thrombophlebitis did not occur unless the intravenous catheter had