The effectiveness of applying different tip positions of midline catheters:a Meta-analysis
10.3761/j.issn.0254-1769.2025.08.016
- VernacularTitle:中等长度静脉导管不同尖端位置应用效果的Meta分析
- Author:
Wanting SHENG
1
;
Rui WANG
;
Yuxiao ZHAO
;
Pengfei QI
;
Silong GAO
;
Juan FENG
;
Bohan LÜ
;
Qun NIU
;
Gang WANG
Author Information
1. 266071 青岛市 青岛大学附属医院重症医学科
- Publication Type:Journal Article
- Keywords:
Midline Catheter;
Catheter Tip;
Complications;
Meta-Analysis;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2025;60(8):990-997
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness of different tip positions applied to midline catheters(MC)and provide evidence-based evidence for venous catheter tip positioning in clinical practice.Methods Computerized searches of PubMed,Web of Science,Embase,Cochrane Library,CINAHL,CNKI,Wanfang Database,VIP,and CBM for studies on the effectiveness of applying MC with different tip positions were performed from the time of database construction to July 2024.Meta-analysis was performed using Rev Man 5.3 software after 2 investigators independently screened the studies,extracted the information and evaluated the quality of the included studies.Results A total of 9 studies with 2 302 hospitalized patients were included.The quality evaluation results of the included studies are all B-level.Meta-analysis showed that when the tip of the MC was located in the subclavian vein compared with the tip of the MC in the axillary vein,the rate of total catheter-related complications,phlebitis,blood leakage,infiltration,catheter occlusion,catheter dislocation,and catheter-associated thrombosis were lower,with a statistically significant difference(P＜0.05).When the tip of the MC was located in the subclavian vein compared with the tip of the MC in the axillary vein,the catheter retention time was longer,with a statistically significant difference(P=0.007).The descriptive analysis showed a lower rate of extubation due to complications when the tip of the MC was located in the subclavian vein compared with when the tip was located in the axillary vein(P＜0.05).Conclusion When the tip of the MC is located in the subclavian vein compared to when it is located in the axillary vein,the incidence of total catheter-related complications,phlebitis,blood leakage,infiltration,catheter occlusion,catheter dislocation,catheter-associated thrombosis,and the rate of catheter extractions due to complications were lower,and the catheter was left in place for a longer period of time.Due to the limitations of the quantity and quality of the included studies,more large-sample,high-quality studies are needed to further validate the effectiveness of different tip positions of MC.
