Indications for referral of adults to an intestinal failure centre
| Complications of parenteral nutrition |
| (1) Impaired venous access |
| ‐ Venous occlusion of one or more neck sites of central venous access (jugular or subclavian) |
| (2) Line related sepsis |
| ‐ Two or more line changes in a year as a consequence of line related sepsis. |
| ‐ One episode of life threatening line related sepsis (that is, cardiovascular shock). |
| ‐ One episode of fungal line infection. |
| (3) Parenteral nutrition related liver disease. |