Summary of the best evidence for peripheral arterial catheters placement and management in pediatric intensive care unit
10.3761/j.issn.0254-1769.2024.10.015
- VernacularTitle:危重症患儿外周动脉导管置入与管理的最佳证据总结
- Author:
Min ZHOU
1
;
Qin FU
;
Linjuan WANG
;
Zerui ZHENG
;
Chuhao ZHANG
;
Xiaozhen ZHENG
;
Jing JING
Author Information
1. 518026 深圳市 深圳市儿童医院儿童重症医学科
- Keywords:
Intensive Care Units,Pediatric;
Arterial Catheters;
Catheterization,Peripheral;
Evidence-Based Nursing;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2024;59(10):1255-1262
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarize the best pertinent evidence on the placement and management of peripheral arterial catheters in critically ill children at home and abroad for clinical references.Methods A systematic search was conducted in related databases on the evidence of the placement and management of peripheral arterial catheters in critically ill children.The spectrum of eligible documents included clinical decisions,guidelines,evidence summaries,systematic reviews,expert consensuses,and norms.The search period was from the establishment of the databases to April 30,2023.The included literature was limited to English and Chinese languages.The quality of the literature was independently evaluated by evidence-based trained investigators and combined with professional judgment to extract information from the literature that met the quality standards.Results A total of 18 articles were included,including 3 guidelines,3 clinical decisions,8 evidence summaries,3 systematic reviews and 1 expert consensus.The best evidence included a total of 27 pieces of evidence in 4 areas,namely the assessment of indwelling peripheral arterial catheters,placement of peripheral arterial catheters,maintenance during the duration of indwelling peripheral arterial catheters,and removal.Conclusion This study summarized the most robust evidence pertaining to the management of peripheral arterial catheters in critically ill children,and provided an evidence-based basis for the standardized placement and management of peripheral arterial catheters in critically ill children.Nursing staff should carefully select and apply evidence according to the actual clinical situation,the wishes of children and parents.
