scholarly journals The effectiveness and cost-effectiveness of ultrasound locating devices for central venous access: a systematic review and economic evaluation

2003 ◽  
Vol 7 (12) ◽  
Author(s):  
N. Calvert ◽  
D. Hind ◽  
R.G. McWilliams> ◽  
S.M. Thomas ◽  
C. Beverley ◽  
...  
Keyword(s):  
Systematic Review ◽  
Economic Evaluation ◽  
Cost Effectiveness ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous

Efficacy of management for obstruction caused by precipitated medication or lipids in central venous access devices: A systematic review and meta-analysis

2019 ◽  
Vol 20 (6) ◽  
pp. 583-591 ◽  
Author(s):  
Li-yuan Zheng ◽  
Hui Xue ◽  
Hua Yuan ◽  
Shu-xiang Liu ◽  
Xiu-ying Zhang
Keyword(s):  
Systematic Review ◽  
Sodium Hydroxide ◽  
Meta Analysis ◽  
Central Venous Access ◽  
Venous Access ◽  
Lipid Deposition ◽  
Central Venous ◽  
Mineral Deposition ◽  
Drug Precipitation ◽  
Venous Access Devices

At present, central venous access devices (CVADs) are widely used in clinical practice. The reasons for CVAD obstruction caused by precipitated medication or lipids are increasingly complex. However, there is no clear treatment program for CVAD obstruction caused by precipitated medication or lipids. The target of this study was to analyze data regarding obstruction caused by precipitated medication or lipids in CVADs and to calculate the efficacy of different treatment methods. A systematic review with meta-analysis was conducted in alignment with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. The PubMed, Web of Science, EMBASE, Cochrane Library, CINAHL, and China National Knowledge Internet databases were searched for original research published before 2018. There were 1356 publications initially screened, with one additional study identified through snowballing. Seven studies met the inclusion criteria. The reasons for obstruction, except for clot formation, primarily included the following: mechanical complications; lipid deposition; mineral deposition; or drug precipitation. Meta-analysis showed that sodium hydroxide resulted in the highest recanalization rate in lipid deposition, followed by ethanol, and the difference was significant. The efficacy analysis revealed that hydrochloric acid and l-cysteine have similar effects on mineral deposition and drug precipitation. According to this review, the most effective methodology was shown to be the intravenous perfusion of sodium hydroxide in several treatments when the obstruction is caused by lipid deposition. In contrast, mineral deposition and drug deposition are best treated with l-cysteine to recover the patency of central venous access devices.

Dressing and securement for central venous access devices (CVADs): A Cochrane systematic review

2016 ◽  
Vol 59 ◽  
pp. 177-196 ◽  
Author(s):  
Amanda J. Ullman ◽  
Marie L. Cooke ◽  
Marion Mitchell ◽  
Frances Lin ◽  
Karen New ◽  
...  
Keyword(s):  
Systematic Review ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Cochrane Systematic Review ◽  
Venous Access Devices

scholarly journals Complications of Central Venous Access Devices: A Systematic Review

PEDIATRICS ◽  
2015 ◽  
Vol 136 (5) ◽  
pp. e1331-e1344 ◽  
Author(s):  
A. J. Ullman ◽  
N. Marsh ◽  
G. Mihala ◽  
M. Cooke ◽  
C. M. Rickard
Keyword(s):  
Systematic Review ◽  
Central Venous Access ◽  
Venous Access ◽  
Central Venous ◽  
Venous Access Devices

Successful Long-Term Central Venous Access

1998 ◽  
Vol 2 (1) ◽  
pp. 38-40
Author(s):  
Franco Tesio ◽  
Hamurabi De Baz ◽  
Giacomo Panarello
Keyword(s):  
Central Venous Access ◽  
Venous Access ◽  
Central Venous
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