Evidence update 2017

1. Insert arterial lines in paediatrics with ultrasound to increase insertion success and reduce haematoma

Ref: Aouad-Maroun M, Raphael CK, Sayyid SK, Farah F, Akl EA. Ultrasound-guided arterial cannulation for paediatrics. Cochrane Database of Systematic Reviews 2016, Issue 9. Art. No.: CD011364. DOI: 10.1002/14651858.CD011364.pub2.

2. Insert CVADs in paediatrics with ultrasound to increase insertion success

Ref: Lau CS, Chamberlain RS. Ultrasound-guided central venous catheter placement increases success rates in pediatric patients: a meta-analysis. Pediatric Research. 2016, doi: 10.1038/pr.2016.74.

3. For subclavian TIVADs, use Seldinger technique to increase primary implantation in adult oncology patients

Ref: Hsu CCT, Kwan GNC, Evans-Barns H, Rophael JA, van Driel ML. Venous cutdown versus the Seldinger technique for placement of totally implantable venous access ports. Cochrane Database of Systematic Reviews 2016, Issue 8. Art. No.: CD008942. DOI: 10.1002/14651858.CD008942.pub2.

4. Choose antimicrobial CVADS in adults and children to reduce risk of CRBSI

Ref: Lai NM, Chaiyakunapruk N, Lai NA, O'Riordan E, Pau WSC, Saint S. Catheter impregnation, coating or bonding for reducing central venous catheter-related infections in adults. Cochrane Database of Systematic Reviews 2016, Issue 3. Art. No.: CD007878. DOI: 10.1002/14651858.CD007878.pub3.

Ref: Gilbert RE, Mok Q, Dwan K, Harron K, Moitt T, Millar M, Ramnarayan P, Tibby S, Hughes D, Gable C. Impregnated central venous catheters for prevention of bloodstream infection in children (the CATCH trial): a randomised controlled trial. Lancet 2016: 387, 1732-1742

5. Apply local anaesthetic prior to PIV insertion in adults to reduce pain

Ref: Bond M, Crathorne, L, Peters J, Coelho H, Haasova M, Cooper C, Milner Q, Shawyer V, Hyde C, Powell R. First do no harm: pain relief for the peripheral venous cannulation of adults, a systematic review and network metaanalysis. BMC Anesthesiology 2016: 16:81, DOI 10.1186/s12871-016-0252-8


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