Special Topics: Cather-Related Thrombosis
Summary of the best evidence for peripherally inserted central catheter-related thrombosis in children
Zhang Caiyun, Wang Chunli, Wu Siting, Ding Yaguang, Shen Nanping, He Mengxue
Published 2022-04-26
Cite as Chin J Mod Nurs, 2022, 28(12): 1552-1557. DOI: 10.3760/cma.j.cn115682-20220128-00495
Abstract
ObjectiveTo retrieve, evaluate, and summarize the best evidence for peripherally inserted central catheter (PICC) related thrombosis in children.
MethodsGuideline websites, relevant society websites, and databases at China and abroad were searched for guidelines, evidence summaries, expert consensuses, and systematic reviews related to thrombosis before and after PICC catheterization in children published up to June 30, 2021 based on evidence-based nursing. The quality of the literature was independently evaluated by 2 researchers with reference to Appraisal of Guidelines for Research and Evaluation InstrumentⅡ and the criteria of the Joanna Briggs Institute (JBI) in Australia (2016) . Data were extracted from the literatures that met the standards through expert demonstration, and the evidence was graded and recommended according to the JBI evidence pre-grading system (2014 edition) .
ResultsA total of 11 articles were included, including 4 guidelines, 1 systematic review, 1 expert consensus, and 5 evidence summaries. 27 pieces of evidence were summarized from 7 aspects: organizational management, catheter selection, blood vessel selection and puncture, location of catheter tip, physical prevention, drug prevention, and evaluation.
ConclusionsThis paper summarizes and analyzes the best evidence for PICC-related thrombosis in children and provides an evidence-based reference for the clinical application and practice of PICC-related thrombosis in children.
Key words:
Child; Peripherally inserted central catheter; Catheter-related thrombosis; Prevention; Evidence summary
Contributor Information
Zhang Caiyun
Department of Nursing, Beijing Children's Hospital, Capital Medical University (National Center for Children's Health, China) , Beijing 100045, China
Wang Chunli
Department of Nursing, Beijing Children's Hospital, Capital Medical University (National Center for Children's Health, China) , Beijing 100045, China
Wu Siting
Department of Nursing, Beijing Children's Hospital, Capital Medical University (National Center for Children's Health, China) , Beijing 100045, China
Ding Yaguang
Department of Nursing, Beijing Children's Hospital, Capital Medical University (National Center for Children's Health, China) , Beijing 100045, China
Shen Nanping
Department of Nursing, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine (National Center for Children's Health, China) , Shanghai 200127, China
He Mengxue
Department of Nursing, Shanghai Children's Medical Center Affiliated to Shanghai Jiao Tong University School of Medicine (National Center for Children's Health, China) , Shanghai 200127, China
