Summary of the best evidence for volume management in patients with continuous renal replacement therapy
10.3760/cma.j.cn211501-20240921-02596
- VernacularTitle:连续性肾脏替代治疗患者容量管理的最佳证据总结
- Author:
Fang WANG
1
;
Zhisheng ZHANG
1
;
Anliu NIE
1
;
Shaona LIAO
1
;
Xiangfen SU
1
Author Information
1. 广州医科大学附属第一医院急诊科，广州 510182
- Publication Type:Journal Article
- Keywords:
Continuous renal replacement therapy;
Capacity management;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2025;41(33):2592-2599
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the best evidence of volume management in patients with continuous renal replacement therapy, and to provid reference for clinical nursing practice.Methods:Comprehensive search clinical decisions, guidelines, expert consensus, group standards, systematic review and original study on volume management of patients with continuous renal replacement therapy in UpToDate, Cochrane Library, BMJ Best Practice, PubMed, Web of Science, CINAHL, Embase, Joanna Briggs Institute, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Guideline International Network, Registered Nurses 'Association of Ontario, French Society of Anaesthesia and Intensive Care, International Society of Nephrology, Yimaitong, Chinese Nursing Association, China National Knowledge Infrastructure, Wanfang and other databases. The retrieval period was from the establishment of the database to April 6, 2024. Literature quality evaluation were conducted independently by researchers who had learned evidence-based nursing research, and the evidence was extracted and integrated.Results:A total of 17 articles were included, comprising 3 clinical decision-making studies, 2 guidelines, 9 expert consensus documents, 1 systematic review, 1 group standard, and 1 randomized controlled trial, and 31 pieces of evidence were summarized from six dimensions: team management, capacity assessment, capacity management objectives, process monitoring, capacity management measures and management of volume related complications.Conclusions:This study summarized the best evidence for the volume management of patients with continuous renal replacement therapy, and provided scientific and standardized basis for the guidance of volume management for clinical medical staff, suggesting that medical staff should selectively apply the best evidence according to the actual clinical situation.
