Central venous catheter insertion and maintenance: Evidence-based clinical recommendations

Authors

  • Kelly Estrada-Orozco Universidad Nacional de Colombia https://orcid.org/0000-0001-5022-5572
  • Francy Cantor-Cruz Universidad Nacional de Colombia
  • Diego Larrota-Castillo Universidad Nacional de Colombia
  • Stefany Díaz-Ríos Universidad Nacional de Colombia
  • Miguel A. Ruiz-Cardozo Universidad Nacional de Colombia

DOI:

https://doi.org/10.18597/rcog.3413

Abstract

Objective: To share with clinicians supporting evidence of the safest and the most effective processes for central venous catheter insertion and maintenance as a strategy to prevent catheter-associated bloodstream infections. Materials and Methods: A literature search was conducted in the Medline via PubMed, Embase Central and Lilacs databases based on a set of clinical questions aimed at improving safety and effectiveness at key moments in the process of central venous catheter insertion and maintenance. The rapid literature review methodology was used. The studies identified were assessed from the quality point of view, using the Joanna Briggs Institute (JBI) tools for qualitative and quantitative studies and for systematic reviews. Clinical practice guidelines were assessed using the AGREE II tool. The evidence is presented in the form of evidence-based clinical recommendations, which were graded in accordance with the JBI methodology. Results: Twelve clinical evidence summaries containing evidence related to the safe and effective use of central venous catheters are presented, including the following topics: central venous catheter insertion (CVC), peripherally inserted central catheters (PICC), preoperative assessment, the use of analgesia, field preparation, choice between CVC or PICC, CVC care and maintenance, prevention of complications, and general considerations pertaining to the use of central venous catheters in oncologic patients and in parenteral nutrition. Conclusions: Recommendations on the safe and effective use of central venous access catheters in relation to CVC insertion and maintenance processes are presented in the evidence-based summary model. It is necessary to evaluate their implementation in health outcomes in the institutions where they are developed.

Author Biographies

Kelly Estrada-Orozco, Universidad Nacional de Colombia

Grupo de Evaluación de Tecnologías y Políticas en Salud (GETS), Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Centro de Evidencia e Implementación, Bogotá, Colombia.
Unidad de Investigación en Seguridad del Paciente, Hospital Universitario Nacional de Colombia, Bogotá, Colombia.
Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.

Francy Cantor-Cruz, Universidad Nacional de Colombia

Grupo de Evaluación de Tecnologías y Políticas en Salud (GETS), Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Unidad de Investigación en Seguridad del Paciente, Hospital Universitario Nacional de Colombia, Bogotá, Colombia.
Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.

Diego Larrota-Castillo, Universidad Nacional de Colombia

Grupo de Evaluación de Tecnologías y Políticas en Salud (GETS), Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Unidad de Investigación en Seguridad del Paciente, Hospital Universitario Nacional de Colombia, Bogotá, Colombia.
Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.

Stefany Díaz-Ríos, Universidad Nacional de Colombia

Grupo de Evaluación de Tecnologías y Políticas en Salud (GETS), Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Unidad de Investigación en Seguridad del Paciente, Hospital Universitario Nacional de Colombia, Bogotá, Colombia.
Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.

Miguel A. Ruiz-Cardozo, Universidad Nacional de Colombia

Grupo de Evaluación de Tecnologías y Políticas en Salud (GETS), Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.
Unidad de Investigación en Seguridad del Paciente, Hospital Universitario Nacional de Colombia, Bogotá, Colombia.
Instituto de Investigaciones Clínicas, Facultad de Medicina, Universidad Nacional de Colombia, Bogotá, Colombia.

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How to Cite

1.
Estrada-Orozco K, Cantor-Cruz F, Larrota-Castillo D, Díaz-Ríos S, Ruiz-Cardozo MA. Central venous catheter insertion and maintenance: Evidence-based clinical recommendations. Rev. colomb. obstet. ginecol. [Internet]. 2020 May 20 [cited 2024 May 19];71(2):115-62. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/3413

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2020-05-20

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