Prevention of air embolism related to central venous catheter removal: an integrative review.

IF 1.1 Q4 PERIPHERAL VASCULAR DISEASE

Jornal Vascular Brasileiro Pub Date : 2025-11-07 eCollection Date: 2025-01-01 DOI:10.1590/1677-5449.202500192

Enrico Baldini Benetti, Gabriel Maraia Ciolfi, Jonatan Egian Ramos, Breno Casellatto Rodrigues Almeida, Roberta Garcia Gomes, Patrícia Scotini Freitas, Rogério Silva Lima

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引用次数: 0

Abstract

The removal of a central venous catheter can cause serious complications, such as air embolism, but there is limited evidence on effective prevention methods. This integrative review followed PRISMA guidelines and analyzed studies in English, Portuguese, and Spanish, without time restrictions, in the LILACS, Web of Science, PubMed, CINAHL, and EMBASE databases. Two studies were selected. One compared two removal methods and found that the modified technique reduced the occurrence of air embolism compared to the traditional method. The other study indicated that removal with suture over the catheter was also effective in prevention. Despite these promising findings, experimental research is needed to determine best practices. Additionally, factors such as patient positioning and maneuvers like the Valsalva maneuver should be further studied to optimize air embolism prevention.

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中心静脉导管拔除后空气栓塞的预防：一项综合综述。

中心静脉导管的拔除可引起严重的并发症，如空气栓塞，但关于有效预防方法的证据有限。该综合综述遵循PRISMA指南，分析了英语、葡萄牙语和西班牙语的研究，没有时间限制，数据来自LILACS、Web of Science、PubMed、CINAHL和EMBASE数据库。选择了两项研究。有人比较了两种去除方法，发现与传统方法相比，改进的技术减少了空气栓塞的发生。另一项研究表明，在导管上缝合去除也是有效的预防。尽管有这些有希望的发现，但需要实验研究来确定最佳做法。此外，还应进一步研究患者体位和Valsalva动作等因素，以优化空气栓塞的预防。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.20

自引率

0.00%

发文量

审稿时长

20 weeks

期刊介绍： The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.