Summary of best evidence for central venous catheter-associated thrombosis prevention in children
10.3760/cma.j.cn115682-20211029-04874
- VernacularTitle:儿童中心静脉导管相关性血栓预防的最佳证据总结
- Author:
Ruixin GUAN
1
;
Weijie XING
;
Dan ZHANG
;
Baorong ZHANG
;
Xiaoshuang ZHAO
Author Information
1. 吉林大学第一医院儿童重症医学科，长春 130021
- Keywords:
Child;
Central venous catheter;
Thrombosis;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2022;28(18):2437-2442
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate the best evidence for the prevention of central venous catheter-associated thrombosis in children, so as to provide a basis for clinical nursing programs for children with catheter-associated thrombosis.Methods:UpToDate, British Medical Journal Best Practice, Joanna Briggs Institute Evidence Synthesis, the Cochrane Library, CINAHL, Guideline International Network, National Guideline Clearinghouse, ACP Journal Club, PubMed, China Medlive Guidelines Network, China Biomedical Database, WanFang Data, China National Knowledge Infrastructure were retrieved by computer. The retrieval time limit was from June 30, 2011 to June 30, 2021. Four researchers independently screened the article, and extracted and summarized the article that met the quality standards.Results:A total of 10 articles were included, including four guidelines, three expert consensus articles, two evidence summaries, and one systematic review. A total of 24 pieces of evidence were summarized in five aspects of children's central venous catheter training, risk factor assessment, central venous catheter placement, catheter maintenance and thrombosis prevention.Conclusions:The best evidence for the prevention of central venous catheter-associated thrombosis in children is comprehensive and extensive, instructive and actionable, and can provide a basis for the clinical nursing program of catheter-associated thrombosis prevention in children. Medical and nursing staff can further refine evidence-based nursing practice programs according to the characteristics of children of different ages from the above five aspects, standardize the process of central venous catheter placement and maintenance, and provide children with drug or non-drug prevention.
