Summary of the best evidence for prevention and management of central venous catheter-related thrombosis in adults
10.3760/cma.j.cn115682-20221018-05071
- VernacularTitle:成人中心静脉导管相关性血栓预防与管理的最佳证据总结
- Author:
Fei LIU
1
;
Fang HOU
;
Xia WANG
;
Yuting HUANG
;
Xiaobing YIN
Author Information
1. 同济大学附属第十人民医院骨科，上海 200072
- Keywords:
Thrombosis;
Catheter-related thrombosis;
Central venous catheter;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2023;29(28):3848-3853
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence for the prevention and management of central venous catheter-related thrombosis in adults.Methods:Based on evidence-based methods, computer searches were conducted on UpToDate, BMJ Best Practice, Joanna Briggs Institute Evidence-based Healthcare Center Database in Australia, Guidelines International Network, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Medlive, Cochrane Library, website of Infusion Nursing Society, website of Chinese Medical Association, PubMed, China Biology Medicine disc, CNKI, Wanfang database, etc. The search period was from the establishment of the database to May 31, 2022. Two researchers independently conducted literature quality evaluation and evidence level assessment.Results:A total of 12 articles were included, including 3 clinical decisions, 4 guidelines, 3 evidence summaries, 1 randomized controlled trial and 1 expert consensus. 10 topics including team and training, risk factors assessment, catheterization, functional exercise, physical prevention, drug prevention, tube flushing and sealing, observation and identification, extubation and anticoagulation, health education and 25 best evidence were summarized and formed.Conclusions:This study summarizes the best evidence currently available for the prevention and management of central venous catheter-related thrombosis in adults, so as to provide evidence-based evidence for nurses and nursing managers to scientifically manage and prevent central venous catheter-related thrombosis.
