Dressings and securement devices to prevent complications for peripheral arterial catheters (Review)
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| Titel: | Dressings and securement devices to prevent complications for peripheral arterial catheters (Review) |
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| Autoren: | Schults, JA, Reynolds, H, Rickard, CM, Culwick, MD, Mihala, G, Alexandrou, E, Ullman, AJ |
| Verlagsinformationen: | Wiley |
| Publikationsjahr: | 2024 |
| Bestand: | Griffith University: Griffith Research Online |
| Schlagwörter: | Nursing, Biomedical and clinical sciences, Health sciences |
| Beschreibung: | Background Peripheral arterial catheters (ACs) are used in anaesthesia and intensive care settings for blood sampling and monitoring. Despite their importance, ACs often fail, requiring reinsertion. Dressings and securement devices maintain AC function and prevent complications such as infection. Objectives To evaluate the effectiveness of peripheral AC dressing and securement devices to prevent failure and complications in hospitalised people. Search methods We searched the Cochrane Wounds Specialised Register, CENTRAL, MEDLINE, Embase, and CINAHL Plus up to 16 May 2023. We also searched ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform up to 16 May 2023. Selection criteria We included randomised controlled trials (RCTs) comparing different dressing and securement devices for the stabilisation of ACs in hospitalised people. Data collection and analysis Two review authors independently selected trials for inclusion, extracted data, and assessed risk of bias using Cochrane's RoB 1 tool. We resolved disagreements by discussion, or by consulting a third review author when necessary. We assessed the certainty of evidence using GRADE. Main results We included five RCTs with 1228 participants and 1228 ACs. All included studies had high risk of bias in one or more domains. We present the following four comparisons, with the remaining comparisons reported in the main review. Standard polyurethane (SPU) plus tissue adhesive (TA) compared with SPU: we are very uncertain whether use of SPU plus TA impacts rates of AC failure (risk ratio (RR) 0.44, 95% confidence interval (CI) 0.20 to 0.98; I² = 0%; 2 studies, 165 participants; very low‐certainty evidence). Neither study (165 participants) reported catheter‐related bloodstream infections (CRBSI), thus we are very uncertain whether SPU plus TA impacts on the incidence of CRBSI (very low‐certainty evidence). It is very uncertain whether use of SPU plus TA impacts AC dislodgement risk (RR 0.54, 95% CI 0.03 to 9.62; I² = 44%; 2 ... |
| Publikationsart: | article in journal/newspaper |
| Sprache: | English |
| Relation: | Cochrane Database of Systematic Reviews; Schults, JA; Reynolds, H; Rickard, CM; Culwick, MD; Mihala, G; Alexandrou, E; Ullman, AJ, Dressings and securement devices to prevent complications for peripheral arterial catheters, Cochrane Database of Systematic Reviews, 2024, 2024 (5), pp. CD013023; https://hdl.handle.net/10072/431488 |
| DOI: | 10.1002/14651858.CD013023.pub2 |
| Verfügbarkeit: | https://hdl.handle.net/10072/431488 https://doi.org/10.1002/14651858.CD013023.pub2 |
| Rights: | This work is covered by copyright. You must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a specified licence, refer to the licence for details of permitted re-use. If you believe that this work infringes copyright please make a copyright takedown request using the form at https://www.griffith.edu.au/copyright-matters. ; embargoed access |
| Dokumentencode: | edsbas.D1A01E69 |
| Datenbank: | BASE |
Nájsť tento článok vo Web of Science | Abstract: | Background Peripheral arterial catheters (ACs) are used in anaesthesia and intensive care settings for blood sampling and monitoring. Despite their importance, ACs often fail, requiring reinsertion. Dressings and securement devices maintain AC function and prevent complications such as infection. Objectives To evaluate the effectiveness of peripheral AC dressing and securement devices to prevent failure and complications in hospitalised people. Search methods We searched the Cochrane Wounds Specialised Register, CENTRAL, MEDLINE, Embase, and CINAHL Plus up to 16 May 2023. We also searched ClinicalTrials.gov and the World Health Organization International Clinical Trials Registry Platform up to 16 May 2023. Selection criteria We included randomised controlled trials (RCTs) comparing different dressing and securement devices for the stabilisation of ACs in hospitalised people. Data collection and analysis Two review authors independently selected trials for inclusion, extracted data, and assessed risk of bias using Cochrane's RoB 1 tool. We resolved disagreements by discussion, or by consulting a third review author when necessary. We assessed the certainty of evidence using GRADE. Main results We included five RCTs with 1228 participants and 1228 ACs. All included studies had high risk of bias in one or more domains. We present the following four comparisons, with the remaining comparisons reported in the main review. Standard polyurethane (SPU) plus tissue adhesive (TA) compared with SPU: we are very uncertain whether use of SPU plus TA impacts rates of AC failure (risk ratio (RR) 0.44, 95% confidence interval (CI) 0.20 to 0.98; I² = 0%; 2 studies, 165 participants; very low‐certainty evidence). Neither study (165 participants) reported catheter‐related bloodstream infections (CRBSI), thus we are very uncertain whether SPU plus TA impacts on the incidence of CRBSI (very low‐certainty evidence). It is very uncertain whether use of SPU plus TA impacts AC dislodgement risk (RR 0.54, 95% CI 0.03 to 9.62; I² = 44%; 2 ... |
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| DOI: | 10.1002/14651858.CD013023.pub2 |