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Care bundles and peripheral arterial catheters
Heather Reynolds1, John Gowardman2, Christine Woods3
1Department of Anaesthesia & Perioperative Medicine, Royal Brisbane & Women's Hospital, Herston, Queensland, Australia, The University of Queensland, St Lucia, Queensland, Australia, Alliance for Vascular Access Teaching & Research, Griffith University, Nathan, Queensland, Australia.
Vascular access care bundles effectively reduce infections across various devices. However, more research is needed on specific bundles for arterial catheters to improve patient safety.
Area of Science:
- Infection control in healthcare settings
- Vascular access device management
- Evidence-based practice in nursing
Background:
- Care bundles are recommended to reduce vascular access device infections.
- Arterial catheter infection risk is similar to short-term central venous catheters.
- Clinicians express concerns regarding peripheral arterial catheter insertion and care.
Approach:
- A scoping review of 84 studies was conducted.
- Data extraction utilized standardized methodology by two independent researchers.
- Included studies comprised randomized controlled trials, observational studies, quality improvement projects, and reviews.
Key Points:
- Bundled strategies demonstrated decreased infection rates for all vascular access devices studied.
- The majority of included studies focused on adult populations.
- A significant theme across studies was the reduction of infections with bundle implementation.
Conclusions:
- Evidence strongly supports using care bundles to minimize infections associated with all intravascular devices.
- Limited research exists on care bundles for peripheral arterial catheters.
- Further high-quality research is essential to address the evidence gap in arterial catheter care bundles.
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