在急诊科使用氰基丙烯酸酯胶固定外周静脉导管：随机对照试验的荟萃分析

IF 1.7 3区医学 Q3 PERIPHERAL VASCULAR DISEASE

Journal of Vascular Access Pub Date : 2025-10-07 DOI:10.1177/11297298251369902

João Vitor Sciorilli, João Pedro Bogossian Remaili, Davi Barbosa Pereira da Silva, Rodrigo Dos Reis Schevz, Amanda Machado, Luiz Dalfior

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引用次数: 0

摘要

背景：静脉导管（IVCs）是一种常见的医疗器械，在70%的医院患者中使用。由于其高失败率（35%-50%）和并发症，我们旨在进行系统回顾和荟萃分析，以评估在急诊科使用氰基丙烯酸酯胶（CG）预防静脉并发症的疗效。方法：本研究于2025年2月5日在PROSPERO注册，注册号为CRD42025642588，未获得资金支持。我们在PubMed、Embase和Cochrane数据库中进行了系统检索，仅纳入了关于使用CG保护IVCs的随机对照试验。结果：在最大随访时，主要结局在所有四个结局组间无统计学意义。然而，在仅包括成人患者的亚组分析中，CG组出现较低的IVCs脱位和失败事件。需要对儿科患者进行进一步的研究。

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Cyanoacrylate glue for securing peripherally inserted intravenous catheters in the emergency department: A meta-analysis of randomized controlled trials.

Background: Intravenous catheters (IVCs) are a common medical device, used in 70% of hospital patients. Due to their high failure ratio (35%-50%) and complications, we aimed to perform a systematic review and meta-analysis to assess the efficacy of Cyanoacrylate Glue (CG) use in preventing IV complications at the Emergency Department.

Methods: This study was registered in PROSPERO on February 5, 2025, with registry number CRD42025642588 and received no financial support. A systematic search at PubMed, Embase, and Cochrane databases was performed and only Randomized Controlled Trials about CG use for securing IVCs were included.

Results: Primary outcomes showed no statistical significance between the groups across all four outcomes at maximum follow-up. However, in a subgroup analysis including only adult patients, CG group presented lower IVCs dislodgement and failure events. Further studies in pediatric patients are needed.

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来源期刊

Journal of Vascular Access 医学-外周血管病

CiteScore

3.40

自引率

31.60%

发文量

181

审稿时长

6-12 weeks

期刊介绍： The Journal of Vascular Access (JVA) is issued six times per year; it considers the publication of original manuscripts dealing with clinical and laboratory investigations in the fast growing field of vascular access. In addition reviews, case reports and clinical trials are welcome, as well as papers dedicated to more practical aspects covering new devices and techniques. All contributions, coming from all over the world, undergo the peer-review process. The Journal of Vascular Access is divided into independent sections, each led by Editors of the highest scientific level: • Dialysis • Oncology • Interventional radiology • Nutrition • Nursing • Intensive care Correspondence related to published papers is also welcome.