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April 1975

Safe Central Venous Nutrition

Arch Surg. 1975;110(4):451. doi:10.1001/archsurg.1975.01360100093030

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This book is a collection of the monograph and other papers of Dr. Parsa's that report his considerable experience with the use of central venous hyperalimentation at the Harlem Hospital Center. This is a worthwhile endeavor since Dr. Parsa's experience is one of the largest in this field and he has demonstrated the ability to carry on this practice in a municipal hospital. Dr. Parsa's book emphasizes his particular interests, which include subclavicular vena puncture of the subclavian vein and the use of the silicone venous catheters. These techniques generally require more skill than the infraclavicular subclavian venipuncture using a standard polyethylene catheter. The first chapter provides valuable information on the insertion of the catheter anatomy, but his emphasis would not provide the reader with a balanced discussion of the various techniques. Also, these techniques require the experience of Dr. Parsa and his co-workers.

The second chapter, the complications of

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