Evidence summary for prevention and management of implantable venous access port occlusion in adult patients
10.3761/j.issn.0254-1769.2018.03.021
- VernacularTitle:成人输液港堵塞预防与处理的证据总结
- Author:
Chaojun WU
1
;
Jing MIAO
;
Xintong ZHANG
;
Jinxing ZHU
;
Kouying LIU
Author Information
1. 210000,南京市 南京医科大学护理学院
- Keywords:
Vascular Access Port;
Occlusion;
Management;
Prevention;
Adult;
Evidence-Based Medicine
- From:
Chinese Journal of Nursing
2018;53(3):346-351
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,appraise and summarize the available evidence on management and prevention of implantable venous access port occlusion in adult patients.Methods We searched the BMJ best practice,UpToDate,Cochrane Library,Joanna Briggs Institute Library,Registered Nurses' Association of Ontario,National Guideline Clearinghouse,PubMed,EMbase,CNKI and CBM to collect literatures including guidelines,evidence summary,best practice information sheet,recommended practice,systematic review and consensus.Results Five references including one guideline,one systematic review,two evidence summaries,and one expert consensus were included.A total of eight items of best evidence were summarized with regard to syringe size,flush volume,flush technique and frequency of administration,choose of needleless connectors,management of mechanical occlusion,drug/mineral precipitation,and thrombotic occlusion.Conclusion Healthcare workers should regulate the standard of venous access port flushing and locking and manage catheter occlusion in a timely manner,to avoid adverse incidents like interruptions in treatment,bacteremia,and venous thrombosis.
