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Vascular Access Device Selection, Insertion, and Maintenance in Patients with Covid-19 in Icu: A Scoping Review
Journal of Vascular Access ; 23(1 Supplement):38, 2022.
Article in English | EMBASE | ID: covidwho-2114897
ABSTRACT

Introduction:

Two fundamental supportive invasive interventions in the intensive care unit (ICU) are ventilation and intravenous therapy. Ventilation research has dominated the literature since the pandemic began, with little research on vascular access devices (VADs), despite these interventions existing almost co-dependently. This scoping review aimed to identify the types of evidence available, knowledge gaps and key concepts on vascular access (VA) approaches in patients with Covid-19 in ICU. The main objective was to conduct a systematic search to examine the types of research conducted on VADs during the pandemic. Method(s)

Design:

scoping review. The Joanna Briggs Institute (JBI) three-step approach was followed to undertake a systematic search using databases and search engines EMBASE, Medline, CINAHL, PubMed and clinical trials registries. Study designs were searched from 2019 to March 2022 limited to the English language. Our data extraction instrument was developed using a template from JBI (Table 1). The PRISMA-ScR checklist was used to report findings. Result(s) A total of 5107 results were identified (Figure 1). From this number data was extracted from 67 papers. Among the study designs were retrospective studies (20), editorials and commentaries (17), case reports (14), prospective cohort studies;observational studies;cross sectional studies (8), conference s (2), quality improvement initiative (2), one survey (1), study protocol (1). Two clinical guidelines from expert groups were identified. No randomised controlled trials were identified. No clinical trials, registered or ongoing, were identified. Discussion(s) This review identified that Covid-19 patients are requiring more VADs, over longer periods with an increased risk of mortality. These patients are proned for up to 18 hours a day, reducing access for regular VAD assessment. Well-designed VA research is lacking in COVID 19 cohorts. Conclusion(s) The foundation of evidence-based practice depends on the integration of valid research alongside clinical expertise. Despite VA recommendations being in existence, no randomised controlled trials, systematic reviews or meta-analysis exist to support these recommendations. Future research needs to focus on high quality randomised controlled trials. A systematic review and meta-analysis is, at present, unnecessary.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Reviews Language: English Journal: Journal of Vascular Access Year: 2022 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Reviews Language: English Journal: Journal of Vascular Access Year: 2022 Document Type: Article