Background
Materials and methods
Literature search strategy
Inclusion and exclusion criteria
Process of evaluating the quality of literature
Criteria for evaluating the quality of literature
Process of evaluating the quality of evidence
Results
General description of the included literature
Serial number | Article | Article source | Nature of the article | Research topic | Date of publication |
---|---|---|---|---|---|
1 | Gilles Clermont et al. [4] | UpToDate | Clinical decision | Arterial catheterization in invasive blood pressure monitoring: extubation | 2020 |
2 | Gorski LA et al. [15] | PUBMED | Guidelines | Vascular access device removal | 2021 |
3 | O’Grady NP et al. [16] | Medlive | Guidelines | Practical suggestion of catheter | 2011 |
4 | Loveday HP et al. [17] | NICE | Guidelines | Catheter replacement strategy | 2014 |
5 | Wang Yi et al. [18] | Wangfang data | Evidence summary | Timing of peripheral arterial catheter extubation | 2020 |
6 | Guo Han Painting et al. [19] | Wangfang data | Evidence summary | Timing of peripheral arterial catheter extubation | 2021 |
7 | O’Horo JC et al. [20] | PUBMED | System review | Evaluation of arterial catheter extubation | 2014 |
8 | Ma Hong et al. [21] | Chinese anesthesia | Expert consensus | Complications and treatment of pressure monitoring of radial artery puncture catheterization | 2017 |
Guidelines | Standardized scores in each domain | Number of domains with standardized score > 60% (number) | Number of domains with standardized score < 30% (number) | Recommended level | |||||
---|---|---|---|---|---|---|---|---|---|
Scope and purpose | People involved | Strictness | Clarity | Applicability | Independence | ||||
Gorski LA et al. [14] | 97.22 | 94.44 | 97.92 | 94.44 | 56.25 | 91.67 | 6 | 0 | A |
O’Grady NP et al. [15] | 100 | 86.11 | 45.83 | 94.44 | 60.42 | 70.83 | 5 | 0 | B |
Loveday HP et al. [16] | 100 | 91.66 | 98.96 | 97.22 | 54.17 | 100 | 5 | 0 | B |
Description of evidence and summary
Evaluation item | Wang Yi et al [17] | Guo Han Hua et al [18] |
---|---|---|
1. Is the scope and application object of evidence summary specific? | Yes | Yes |
2. Is the author of the evidence summary clear and transparent? | Yes | Yes |
3. Is the reviewer or editor of the evidence summary clear and transparent? | Yes | Yes |
4. Is the retrieval method transparent and comprehensive? | Yes | Yes |
5. Is evidence graded and the grading system used transparent? | Yes | Yes |
6. Are the recommendations clear? | Yes | Yes |
7. Is the citation of the recommended opinion appropriate? | Partially yes | Yes |
8. Are recommendations time-sensitive? | No | No |
9. Does the evidence summary avoid potential bias? | Partially yes | Partially yes |
10. Does this summary of evidence apply to your patient? | Yes | Yes |
Additional entry: Was the quality of the included literature evaluated? | Yes | Yes |
Evidence summary
Evidence Topic | No. | Evidence description | Level of evidence | Recommended level |
---|---|---|---|---|
Assessment of removal timing | 1 | 4c | A | |
2 | 4c | A | ||
3 | 3e | B | ||
Preparation before removal | 4 | Check the international normalized ratio, partial thromboplastin time, and platelet count before peripheral arterial catheter removal and confirm the use of drugs that interfere with coagulation and platelet function of the patients [13]. | 5b | B |
5 | When the platelet count is < 50 × 109/L, the activated partial thromboplastin time is > 1.3 times the normal value, and/or the international normalized ratio is > 1.8, correction using blood products are recommended to use [24]. | 5b | B | |
6 | Wear sterile gloves and PPE after washing hands before arterial catheter removal [13]. | 5b | B | |
7 | 1b | A | ||
8 | Flush artery catheter before removal. Pay attention to avoid blood spatter during removal [13]. | 5c | B | |
Removal procedure | 9 | 4b | B | |
10 | 5c | B | ||
Compression time | 11 | Generally, the radial artery should be continuously pressed for 5 min after removal, and the femoral artery should be pressed for 10 min after removal [13]. | 5b | B |
12 | If there is blood seepage after the compression time, check again after compressing for 5 min [13]. | 5b | B | |
13 | If the international normalized ratio, partial thromboplastin time, and platelet count are abnormal, or the patient received antiplatelet therapy, the compression time should be extended by 50–100% [13]. | 5b | B | |
Points after removal | 14 | 5c | B | |
15 | 5c | B | ||
16 | 5b | B | ||
17 | 4c | B |