Nursing Management of Extravasation Complications Related to Intravenous Catheters: A Narrative Review
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Abstract
Background: The existing literature on nursing management of extravasation complications is fragmented, inconsistent, and outdated. When it comes to nursing management of extravasation complications, there are several gaps that need to be addressed as generally of study participants had poor knowledge of the prevention and management of cytotoxic extravasation, a high number of nurses were not were not trained on cytotoxic extravasation.
Methods: We conducted a narrative review by searching the following databases for relevant clinical practice guidelines published from Oct 2013 to Oct 2023: PubMed, Cochrane Library, CINAHL, Scopus and Clinical practice guidelines developed by institutes, hospitals, associations, and cancer groups, based on systematic and evidence-based review. We used the AMSTAR 2 tool for assessing the quality of systematic reviews, and summarized the characteristics and findings of the included studies in a narrative synthesis including year of publication, title, Institution/authors, key highlight (assessment, management, prevention).
Results and discussions: These Clinical practice guidelines have some similarities and differences in their scope, methods, recommendations, and quality. They all aim to provide evidence-based and standardized guidance for the prevention and management of extravasation, and to improve the quality and safety of intravenous therapy.
Conclusions: In conclusion, while significant progress has been made in understanding and managing extravasation injuries, there is still much work to be done. By continuing to research, educate, and apply evidence-based practices, healthcare professionals can significantly improve the care and outcomes for patients at risk of extravasation injuries
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