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Updated: Jun 23, 2026
09:05
Catheterization of the Carotid Artery and Jugular Vein to Perform Hemodynamic Measures, Infusions and Blood Sampling in a Conscious Rat Model
Published on: January 30, 2015
Arterial catheter maintenance in children: a best practice implementation project.
Yuxia Yang1, Weijie Shen1, Yuqing Wang1
1Pediatric Intensive Care Unit, Children's Hospital of Fudan University, Shanghai, China.
JBI Evidence Implementation
|June 22, 2026
Summary
Implementing evidence-based practices for arterial catheter management in a pediatric intensive care unit significantly improved compliance and catheter dwell time. Continuous audits are recommended to sustain these improvements in patient care.
Area of Science:
- Healthcare Quality Improvement
- Pediatric Critical Care
- Evidence-Based Practice Implementation
Background:
- Arterial catheters are essential for hemodynamic monitoring in intensive care units.
- Compliance with evidence-based maintenance practices is suboptimal in pediatric intensive care units.
Purpose of the Study:
- To enhance adherence to evidence-based practices for arterial catheter management in critically ill children.
- To improve patient outcomes through optimized catheter care in a Chinese pediatric intensive care unit.
Main Methods:
- Utilized the JBI Evidence Implementation Framework and i-PARIHS framework to guide practice change.
- Developed a tailored arterial catheter management strategy, simulation training, and standardized flush syringes.
- Assessed compliance through field observations, medical record reviews, and staff/patient interviews.
Main Results:
- Compliance with all thirteen audited criteria for arterial catheter management significantly increased post-intervention.
- The average indwelling time for peripheral arterial catheters was extended.
- Baseline and follow-up audits included 220 and 212 catheters, respectively.
Conclusions:
- The JBI Evidence Implementation Framework effectively improved adherence to best practices for arterial catheter care.
- Sustaining evidence-based behaviors requires ongoing audits and reinforcement among medical staff.
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