Central venous catheter insertion and maintenance : Evidence-based clinical recommendations
Copyright© 2020 This is an open-access article distributed under the terms of the Creative Commons Attribution License by-nc-nd/4.0..
OBJECTIVE: To share with clinicians supporting evidence of the safest and the most effective processes for central venous catheter insertion and maintenance as a strategy to prevent catheter-associated bloodstream infections.
METHODS: A literature search was conducted in the Medline via PubMed, Embase Central and Lilacs databases based on a set of clinical questions aimed at improving safety and effectiveness at key moments in the process of central venous catheter insertion and maintenance. The rapid literature review methodology was used. The studies identified were assessed from the quality point of view, using the Joanna Briggs Institute (JBI) tools for qualitative and quantitative studies and for systematic reviews. Clinical practice guidelines were assessed using the AGREE II tool. The evidence is presented in the form of evidence-based clinical recommendations, which were graded in accordance with the JBI methodology.
RESULTS: Twelve clinical evidence summaries containing evidence related to the safe and effective use of central venous catheters are presented, including the following topics: central venous catheter insertion (CVC), peripherally inserted central catheters (PICC), preoperative assessment, the use of analgesia, field preparation, choice between CVC or PICC, CVC care and maintenance, prevention of complications, and general considerations pertaining to the use of central venous catheters in oncologic patients and in parenteral nutrition.
CONCLUSIONS: Recommendations on the safe and effective use of central venous access catheters in relation to CVC insertion and maintenance processes are presented in the evidence-based summary model. It is necessary to evaluate their implementation in health outcomes in the institutions where they are developed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:71 |
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| Enthalten in: |
Revista colombiana de obstetricia y ginecologia - 71(2020), 2 vom: 04. Juni, Seite 115-162 |
| Sprache: |
Englisch |
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| Weiterer Titel: |
Inserción y mantenimiento del catéter venoso central: recomendaciones clínicas basadas en la evidencia |
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| Beteiligte Personen: |
Estrada-Orozco, Kelly [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 07.10.2021 Date Revised 29.02.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.18597/rcog.3413 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM313458456 |
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| 245 | 1 | 0 | |a Central venous catheter insertion and maintenance |b Evidence-based clinical recommendations |
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| 500 | |a Date Revised 29.02.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright© 2020 This is an open-access article distributed under the terms of the Creative Commons Attribution License by-nc-nd/4.0. | ||
| 520 | |a OBJECTIVE: To share with clinicians supporting evidence of the safest and the most effective processes for central venous catheter insertion and maintenance as a strategy to prevent catheter-associated bloodstream infections | ||
| 520 | |a METHODS: A literature search was conducted in the Medline via PubMed, Embase Central and Lilacs databases based on a set of clinical questions aimed at improving safety and effectiveness at key moments in the process of central venous catheter insertion and maintenance. The rapid literature review methodology was used. The studies identified were assessed from the quality point of view, using the Joanna Briggs Institute (JBI) tools for qualitative and quantitative studies and for systematic reviews. Clinical practice guidelines were assessed using the AGREE II tool. The evidence is presented in the form of evidence-based clinical recommendations, which were graded in accordance with the JBI methodology | ||
| 520 | |a RESULTS: Twelve clinical evidence summaries containing evidence related to the safe and effective use of central venous catheters are presented, including the following topics: central venous catheter insertion (CVC), peripherally inserted central catheters (PICC), preoperative assessment, the use of analgesia, field preparation, choice between CVC or PICC, CVC care and maintenance, prevention of complications, and general considerations pertaining to the use of central venous catheters in oncologic patients and in parenteral nutrition | ||
| 520 | |a CONCLUSIONS: Recommendations on the safe and effective use of central venous access catheters in relation to CVC insertion and maintenance processes are presented in the evidence-based summary model. It is necessary to evaluate their implementation in health outcomes in the institutions where they are developed | ||
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| 650 | 4 | |a atheter-related infections | |
| 650 | 4 | |a bacteremia | |
| 650 | 4 | |a bacteriemia | |
| 650 | 4 | |a infecciones relacionadas con catéteres | |
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| 650 | 4 | |a patient safety | |
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| 700 | 1 | |a Larrotta-Castillo, Diego |e verfasserin |4 aut | |
| 700 | 1 | |a Díaz-Ríos, Stefany |e verfasserin |4 aut | |
| 700 | 1 | |a Ruiz-Cardozo, Miguel A |e verfasserin |4 aut | |
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