A summary of the best evidence for preventing accidental extubation of an adult peripheral venous catheters
10.3760/cma.j.cn211501-20210929-02724
- VernacularTitle:预防成年人外周静脉留置针意外拔管的最佳证据总结
- Author:
Liyu LIN
1
;
Lichun XU
;
Xin ZHANG
;
Yuxin HUANG
;
Panpan ZHUANG
Author Information
1. 厦门大学附属中山医院护理部，厦门 361000
- Keywords:
Adult;
Peripheral venous catheter;
Unplanned extubation;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2022;38(24):1915-1921
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, appraise and summarize the best evidence to prevent accidental extubation of peripheral venous catheters in adults.Methods:According to the "6S" evidence model, computer evidence retrieval was carried out. Search relevant domestic and foreign guideline networks and databases to collect relevant evidences, including clinical decision, guidelines, evidence summary, systematic reviews, etc. The retrieval time was from the establishment of the database to September 2021. Two researchers conducted independent literature search, quality evaluation, evidence extraction and summary. If there is a disagreement between the two, the third party shall be invited to make a ruling.Result:A total of 8 articles were included, including 1 clinical decision, 1 guideline, 2 evidence summaries, 3 RCTs and 1 expert consensus. The 35 best evidences were summarized from six aspects: education and training, catheter placement selection, dressing selection, catheter fixation, catheter maintenance and timing of extubation.Conclusion:This summary of evidence provided evidence-based evidence for the standardized management of clinical prevention of accidental extubation of peripheral venous catheters. However, some of evidence is lacking and of poor quality. In the future, the evidence should be used cautiously according to the clinical situation and patient conditions.
