Interventions to manage occluded central venous access devices: An umbrella review

被引:1
|
作者
Elliott, Jessica [1 ,2 ]
Ng, Linda [1 ,2 ]
Meredith, Carolyn [3 ]
Mander, Gordon [4 ,5 ,6 ]
Thompson, Murray [7 ]
Reynolds, Lorraine [6 ]
机构
[1] Univ Southern Queensland, Sch Nursing & Midwifery, Salisbury Rd, Ipswich, Qld 4305, Australia
[2] Univ Southern Queensland, Ctr Hlth Res, Ipswich, Qld, Australia
[3] Darling Downs Hlth, Nursing & Midwifery Educ & Training, Toowoomba, Qld, Australia
[4] Univ Queensland, Fac Hlth & Behav Sci, Southern Queensland Rural Hlth SQRH, Toowoomba, Qld, Australia
[5] Queensland Univ Technol QUT, Fac Hlth, Sch Clin Sci, Brisbane, Qld, Australia
[6] Toowoomba Hosp, Dept Med Imaging, Darling Downs Hlth, Queensland Hlth, Toowoomba, Qld, Australia
[7] Darling Downs Hlth, Med Workforce, Toowoomba, Qld, Australia
来源
关键词
Catheter occlusion; vascular access devices; catheterisation; peripheral; totally implantable central venous access devices; umbrella review; systematic review; CATHETER USE; COMPLICATIONS; THROMBOSIS; IMPACT;
D O I
10.1177/11297298241246092
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
The main objective of this umbrella review is to synthesise available evidence from systematic reviews on the effectiveness of interventions for the management of occlusions in central venous access devices. CVADS have been extensively utilised among the critically ill since the 1950s however have also been linked to an increase in catheter complications. CVAD occlusion can occur in 14%-36% of patients within 1-2 years of catheter placement and is a longstanding complication. Umbrella methodology was applied to review five healthcare databases. Databases were searched for publications from 2009 and 2022 and electronic keywords searches were conducted. The authors searched for reviews that reported on any intervention to prevent, maintain or manage patency of the central venous access devices within an acute care setting. Of the 278 articles identified from the initial search a total of 11 articles were identified. This umbrella review concluded that education enhances patient outcomes and decreases occlusion rates. Further studies are required to explore occlusion reduction strategies in relation to flushing and locking.
引用
收藏
页数:9
相关论文
共 50 条
  • [31] Central Venous Access in Children: A Comprehensive Review
    Tisnado, J.
    Tisnado, J.
    Sydnor, M.
    Komorowski, D.
    AMERICAN JOURNAL OF ROENTGENOLOGY, 2010, 194 (05)
  • [32] Economic evaluation of peripherally inserted central catheter and other venous access devices: A scoping review
    Wang, Kairong
    Zhong, Jie
    Huang, Na
    Zhou, Yingfeng
    JOURNAL OF VASCULAR ACCESS, 2020, 21 (06): : 826 - 837
  • [33] Complications Associated With Central Venous Access Devices in Children with Severe Haemophilia: A 12 Year Review
    O'Brien, N.
    Ryan, C.
    Antao, B.
    Nolan, B.
    HAEMOPHILIA, 2017, 23 : 110 - 110
  • [34] DISSOLUTION OF PHENYTOIN PRECIPITATE WITH SODIUM-BICARBONATE IN AN OCCLUDED CENTRAL VENOUS ACCESS DEVICE
    AKINWANDE, KI
    KEEHN, DM
    ANNALS OF PHARMACOTHERAPY, 1995, 29 (7-8) : 707 - 709
  • [35] Guidelines on the insertion and management of central venous access devices in adults
    Bishop, L.
    Dougherty, L.
    Bodenham, A.
    Mansi, J.
    Crowe, P.
    Kibbler, C.
    Shannon, M.
    Treleaven, J.
    INTERNATIONAL JOURNAL OF LABORATORY HEMATOLOGY, 2007, 29 (04) : 261 - 278
  • [36] Complications of central venous access devices in children with and without cancer
    Tobiansky, R
    Lui, K
    Dalton, DM
    Shaw, P
    Martin, H
    Isaacs, D
    JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 1997, 33 (06) : 509 - 514
  • [37] Insertion of Totally Implantable Central Venous Access Devices by Surgeons
    An, Hyeonjun
    Ryu, Chun-Geun
    Jung, Eun-Joo
    Kang, Hyun Jong
    Paik, Jin Hee
    Yang, Jung-Hyun
    Hwang, Dae-Yong
    ANNALS OF COLOPROCTOLOGY, 2015, 31 (02) : 63 - 67
  • [38] Impact of insertion site on complications in central venous access devices
    Sara A. Mansfield
    Jessica Staszak
    Andrew J. Murphy
    Lindsay Talbot
    Abdelhafeez Abdelhafeez
    Hasmukh Prajapati
    Robert Gold
    Vinod Maller
    Kimberly Proctor
    Andrew M. Davidoff
    Regan F. Williams
    Pediatric Surgery International, 39
  • [39] Clinician's perspective on indwelling central venous access devices
    McCarthy, PL
    SEMINARS IN INTERVENTIONAL RADIOLOGY, 1998, 15 (03) : 249 - 252