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Pediatric central venous access devices: nursing interventions

Authors Duffy EA, Nelson KN

Received 16 August 2016

Accepted for publication 10 November 2016

Published 19 May 2017 Volume 2017:7 Pages 51—56

DOI https://doi.org/10.2147/NRR.S101633

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Lucy Goodman

Peer reviewer comments 2

Editor who approved publication: Dr Cindy Hudson

Elizabeth A Duffy, Kathryn N Nelson

Department of Health Behavior and Biological Sciences, The University of Michigan School of Nursing, Ann Arbor, MI, USA

Abstract: A central venous catheter (CVC) is an indwelling catheter that provides permanent or temporary stable venous access for both acute and chronically ill pediatric patients. These catheters provide stable venous access that can be used for a variety of medical purposes including drawing blood, hemodynamic monitoring, infusion of intravenous medications, infusion of intravenous fluids, chemotherapy, blood products, and parenteral nutrition. Each day, nurses access and care for CVCs in infants, children, and adolescents; the precision of this care can prevent life-threatening complications. The purpose of this review and the case study is to highlight the importance and components of evidence-based nursing practice in pediatric CVC care. A historical perspective of CVC care is provided in conjunction with current national initiatives to improve patient outcomes for children with CVCs. Infection prevention, clinical practice guidelines, quality improvement, and evidence-based care bundles are discussed.

Keywords: pediatric nursing, central venous catheters, central line-associated bloodstream infection, care bundles, pediatric case study
 

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