Equipos de especialistas en acceso vascular para la inserción de dispositivos y la prevención de fracasos
Información
- DOI:
- https://doi.org/10.1002/14651858.CD011429.pub2Copiar DOI
- Base de datos:
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- Cochrane Database of Systematic Reviews
- Versión publicada:
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- 20 marzo 2018see what's new
- Tipo:
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- Intervention
- Etapa:
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- Review
- Grupo Editorial Cochrane:
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Grupo Cochrane de Atención crítica y de emergencia
- Copyright:
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- Copyright © 2019 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Cifras del artículo
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Autores
Contributions of authors
Conceiving the review: Peter J Carr (PC), Claire M Rickard (CR).
Co‐ordinating the review: PC.
Undertaking manual searches: PC, Niall S Higgins (NH).
Screening search results: PC, NH.
Organizing retrieval of papers: PC, NH.
Screening retrieved papers against inclusion criteria: PC, NH.
Appraising quality of papers: PC, NH.
Abstracting data from papers: PC, NH.
Writing to authors of papers for additional information: PC.
Providing additional data about papers: PC, NH.
Obtaining and screening data on unpublished studies: PC, NH.
Data management for the review: PC, NH, Gabor Mihala (GM).
Entering data into Review Manager 5 (RevMan 2014): PC, NH, GM, Marie L Cooke (MC).
Review Manager 5 statistical data: PC, NH, GM.
Other statistical analysis not using Review Manager 5: GM.
Interpretation of data: PC, NH, MC, GM, CR.
Statistical inferences: PC, GM.
Writing the review: PC, NH, MC, CR.
Securing funding for the review: PC, CR.
Performing previous work that was the foundation of the present study: PC, CR.
Guarantor for the review: PC.
Reading and checking review before submission: PC, NH, MC, GM, CR.
Sources of support
Internal sources
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Division of Emergency Medicine, School of Medicine, The University of Western Australia, Australia.
External sources
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No sources of support supplied
Declarations of interest
Peter J Carr received a grant from CareFusion (facilitated by his institution at the time) to attend a scientific meeting on vascular access in the USA in 2012. He received speakers bureau payment from CareFusion in 2013 and BD in 2014 for lectures on the subject of vascular access. His PhD research was supported by a BD contribution to the AVATAR group based at Griffith University. No funding was allocated for the review, with no influence over the design of this review. All of the aforementioned have not biased or influenced this review.
Niall S Higgins has no conflicts of interest to declare.
Marie L Cooke is an academic researcher. Griffith University (not Prof Cooke) has received an unrestricted educational grant from Baxter to support the development of educational materials on peripheral intravenous catheter insertion, maintenance, and removal. Prof Cooke has not undertaken any research specifically into IV teams (the topic of this review).
Gabor Mihala has no conflicts of interest to declare.
Claire M Rickard is an academic researcher and speaker in the field of vascular access. Griffith University (not Prof Rickard) has received payments from manufacturers of intravenous (IV) catheters and related equipment for educational lectures or expert opinion on products (3M, Bard, B.Braun, BD, CareFusion, Mayo, ResQDevices, Smiths Medical) and for one consultancy research project on the topic of a simulated time‐in‐motion study on flushing of IV catheters (BD) (Keogh 2014). Griffith University (not Prof Rickard) has also received unrestricted, grant‐in‐aid donations from manufacturers of IV catheters and related equipment (3M, Adhezion, Angiodynamics, Bard, Baxter, BD, Centurion, CareFusion, Cook, Entrotech, FloMedical, Medtronic, Smiths Medical, and Teleflex) to 1) support Prof Rickard's independent research (manufacturers have no involvement in study design, execution, data handling, publication preparation, or approval), and 2) to support travel costs for research staff and students to present their independent research at conferences. Prof Rickard is a PhD supervisor and co‐investigator on the registered trial (ACTRN12616001675415), investigating vascular access specialist team (the topic of this review), for which there is no commercial funding and with an ultrasound machine loaned by Bard (manufacturer has no involvement in study design, execution, data handling, publication preparation, or approval). Prof Rickard has published government‐funded research that identified IV team/expert vascular access specialist team insertion as one of many factors statistically linked to fewer IV catheter complications (Wallis 2014).
Acknowledgements
We would like to thank Jane Cracknell, Managing Editor (Cochrane Anaesthesia, Critical and Emergency Care Group) for editorial guidance in preparing this review, and Bronagh Blackwood (content editor), Evan Alexandrou, Nancy Moureau (peer reviewers), and Marina Sartini (consumer referee) for their time and effort in evaluating and critiquing this systematic review.
We would like to acknowledge Karen Hovhannisyan (former Cochrane Anaesthesia, Critical and Emergency Care Group Trials Search Co‐ordinator) for assistance with the MEDLINE search strategy. Additionally, we thank Mr Simon Lewis, Librarian Faculty of Health and Medical Sciences, The Unviersity of Western Australia for updating the search strategy. We would also like to thank Bronagh Blackwood (content editor), Nathan Pace (statistical editor), and Nancy Moureau, Linda Kelly, and Evan Alexandrou (peer reviewers) for their help and editorial advice during the preparation of the protocol for this systematic review (Carr 2014).
Finally, we acknowledge colleagues in sharing their unpublished study manuscript and data (Garate‐Echenique 2014).
Version history
| Published | Title | Stage | Authors | Version |
| 2018 Mar 20 | Vascular access specialist teams for device insertion and prevention of failure | Review | Peter J Carr, Niall S Higgins, Marie L Cooke, Gabor Mihala, Claire M Rickard | |
| 2014 Dec 15 | Vascular access specialist teams for device insertion and prevention of failure | Protocol | Peter J Carr, Niall S Higgins, Marie L Cooke, Gabor Mihala, Claire M Rickard | |
Differences between protocol and review
We made the following changes to the published protocol (Carr 2014).
We have enhanced and strengthened the wording of the Objectives and Methods sections.
Changes to Objectives include the following.
The previous "To evaluate studies that describe and/or analyse the efficacy of VAST compared with generalist models with regard to insertion success, device failure and cost‐effectiveness", was changed to
"To compare the use of vascular access specialist teams for VAD insertion and care to a generalist model approach for hospital or community participants requiring a VAD in terms of insertion success, device failure, and cost‐effectiveness."
Changes to Methods include the following.
Since we registered our protocol (Carr 2014), we used a different bibliography software to sort and screen studies. We therefore did not import our searches into Endnote 2012 as per initial protocol, and instead used Covidence.
On the advice of the editorial team and the Information Specialist we changed the electronic search to the following.
We searched the following databases for relevant trials:
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Cochrane Central Register of Controlled Trials (CENTRAL; 2018, Issue 1) (Appendix 1)
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MEDLINE (Ovid SP, 1966 to 7 February 2018) (Appendix 2)
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EMBASE (Ovid SP, 1988 to 7 February 2018) (Appendix 3)
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CINAHL (Cumulative Index to Nursing and Allied Health Literature) (EBSCO, 7 February 2018) (Appendix 4)
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ISI Web of Science (7 February 2018) (Appendix 5)
We developed a subject‐specific search strategy in MEDLINE and used that as the basis for the search strategies in the other databases listed. Where appropriate, we expanded the search strategy with search terms for identifying RCTs.
We scanned the following trials registries for ongoing and unpublished trials (7 February 2018).
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World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) (www.who.int/trialsearch)
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ClinicalTrials.gov (www.clinicaltrials.gov)
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Australian and New Zealand Clinical Trials Register (www.anzctr.org.au)
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Current Controlled Trials (www.controlled‐trials.com/mrct)
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HKU Clinical Trials Registry (www.hkclinicaltrials.com)
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Clinical Trials Registry ‐ India (ctri.nic.in/Clinicaltrials/login.php)
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UK Clinical Trials Gateway (www.controlled‐trials.com/ukctr/)
We developed the search strategy in consultation with the Information Specialist.
We changed the following
"We handsearched bibliographies of all retrieved and relevant publications identified by the above strategies for further studies. We searched online thesis repositories for submissions related to this review. We contacted experts in the field to ask for information relevant to this review. Where the full details of a trial were absent and required we attempted to contact the study authors to retrieve information..."
to
"We scanned the reference lists and citations of included trials and any relevant systematic reviews identified for further references to additional trials. We contacted trial authors for additional information when necessary."
Additional changes include updated author affiliations and declarations of interest.
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Humans;
PICO
Study search flowchart.
