Best evidence summary for difficult peripheral intravenous catheterization in children
10.3760/cma.j.cn115682-20230522-02017
- VernacularTitle:儿童外周困难静脉置管最佳证据总结
- Author:
Ruming YE
1
;
Xianghui HUANG
;
Jianshan ZHENG
;
Wenchao WANG
;
Guanhong WU
;
Ling LIU
;
Yi ZHANG
;
Danting LI
;
Xiuyu YE
Author Information
1. 厦门市儿童医院（复旦大学附属儿科医院厦门医院）护理部，厦门 361006
- Keywords:
Child;
Peripheral intravenous catheter;
Difficult vein;
Difficult intravenous puncture;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(6):790-795
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate, and summarize the best evidence for difficult peripheral intravenous catheterization in children.Methods:Following the "6S" evidence pyramid model, literature related to the management of difficult peripheral veins in children was searched in both English and Chinese databases including UpToDate, BMJ Best Practice, National Guidelines Clearinghouse, the Joanna Briggs Institute Evidence-Based Health Care Database, PubMed, Medlive, SinoMed, CNKI, and Wanfang Database. The search period was from the establishment of the database to January 2023. Two researchers trained in systematic evidence-based nursing, independently evaluated the quality of included literature and extracted relevant evidence.Results:Five articles were included: two guidelines, two expert consensuses, and one systematic review. 19 best evidence were summarized, covering five aspects: difficult vein quality management, difficult vein assessment, difficult intravenous catheterization site and needle type selection, difficult intravenous catheterization auxiliary methods, and handling of failed difficult intravenous catheterization.Conclusions:This study summarizes the best evidence for difficult peripheral intravenous catheterization in children, demonstrating clinical nursing practicality. It provides evidence-based guidance for pediatric nursing staff performing difficult intravenous catheterization.
