Clinical practice guidelines--Nursing management for pediatric patients with small bowel or multivisceral transplant

J Spec Pediatr Nurs. 2014 Jan;19(1):90-100. doi: 10.1111/jspn.12056. Epub 2013 Nov 8.


Purpose: Small bowel or multivisceral transplant is a relatively new treatment for irreversible intestinal damage, and no published practice guidelines exist. The purpose of this article is to report evidence regarding the best plan of care to achieve adequate nutrition and appropriate development for children.

Design and methods: An integrative review was conducted with 54 articles related to management of this transplant population. A nine-member nursing team integrated the findings.

Practice implications: This resulting guideline represents the best research and best practices on which to base staff education and competency validations to manage this medically fragile patient population.

Keywords: Intestine; multivisceral; nursing care; pediatric; small bowel; transplant.

Publication types

  • Review

MeSH terms

  • Catheterization, Central Venous
  • Clinical Nursing Research
  • Gastrostomy
  • Graft Rejection
  • Humans
  • Intestine, Small / transplantation*
  • Nursing Care / standards*
  • Nutrition Assessment
  • Opportunistic Infections / prevention & control
  • Osteomyelitis
  • Postoperative Care / nursing*
  • Practice Guidelines as Topic*
  • Short Bowel Syndrome / therapy
  • Speech Therapy
  • Viscera / transplantation*