Interventions to manage occluded central venous access devices: An umbrella review
Article
Elliott, Jessica, Ng, Linda, Meredith, Carolyn, Mander, Gordon, Thompson Murray and Reynolds, Lorraine. 2024. "Interventions to manage occluded central venous access devices: An umbrella review." The Journal of Vascular Access. https://doi.org/10.1177/11297298241246092
| Article Title | Interventions to manage occluded central venous access devices: An umbrella review |
|---|---|
| ERA Journal ID | 201610 |
| Article Category | Article |
| Authors | Elliott, Jessica, Ng, Linda, Meredith, Carolyn, Mander, Gordon, Thompson Murray and Reynolds, Lorraine |
| Journal Title | The Journal of Vascular Access |
| Number of Pages | 9 |
| Year | 2024 |
| Publisher | SAGE Publications Ltd |
| Place of Publication | United Kingdom |
| ISSN | 1129-7298 |
| 1724-6032 | |
| Digital Object Identifier (DOI) | https://doi.org/10.1177/11297298241246092 |
| Web Address (URL) | https://journals.sagepub.com/doi/10.1177/11297298241246092 |
| Abstract | The main objective of this umbrella review is to synthesise available evidence from systematic reviews on the effectiveness of interventions for the management of occlusions in central venous access devices. CVADS have been extensively utilised among the critically ill since the 1950s however have also been linked to an increase in catheter complications. CVAD occlusion can occur in 14%–36% of patients within 1–2 years of catheter placement and is a longstanding complication. Umbrella methodology was applied to review five healthcare databases. Databases were searched for publications from 2009 and 2022 and electronic keywords searches were conducted. The authors searched for reviews that reported on any intervention to prevent, maintain or manage patency of the central venous access devices within an acute care setting. Of the 278 articles identified from the initial search a total of 11 articles were identified. This umbrella review concluded that education enhances patient outcomes and decreases occlusion rates. Further studies are required to explore occlusion reduction strategies in relation to flushing and locking. |
| Keywords | Catheter occlusion; totally implantable central venous access devices; systematic review; umbrella review; peripheral; catheterisation; vascular access devices |
| Article Publishing Charge (APC) Amount Paid | 165.0 |
| Article Publishing Charge (APC) Funding | Other |
| Contains Sensitive Content | Does not contain sensitive content |
| ANZSRC Field of Research 2020 | 4205. Nursing |
| Byline Affiliations | School of Nursing and Midwifery |
| Centre for Health Research | |
| Darling Downs Health, Australia | |
| University of Queensland | |
| Queensland University of Technology | |
| Department of Health, Queensland |
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