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

Area of Science:

• Medical Sciences
• Infection Control
• Clinical Practice

Background:

• Catheter-associated bloodstream infections (CABSIs) are a significant concern in healthcare settings.
• Effective central venous catheter (CVC) insertion and maintenance are crucial for patient safety.

Purpose of the Study:

• To present evidence supporting the safest and most effective processes for CVC insertion and maintenance.
• To reduce the incidence of CABSIs through optimized catheter management strategies.

Main Methods:

• A rapid literature review was conducted across Medline, Embase Central, and Lilacs databases.
• Quality assessment of identified studies used Joanna Briggs Institute (JBI) tools and AGREE II for guidelines.
• Evidence was synthesized into graded, evidence-based clinical recommendations.

Main Results:

• Twelve clinical evidence summaries cover CVC and peripherally inserted central catheter (PICC) insertion and maintenance.
• Topics include preoperative assessment, analgesia, site preparation, catheter choice, and complication prevention.
• Specific considerations for oncologic patients and parenteral nutrition are addressed.

Conclusions:

• Evidence-based recommendations for safe CVC insertion and maintenance are presented.
• Implementation and evaluation of these recommendations in clinical settings are necessary to assess health outcomes.