Anaesthetics and Critical Care Department, St. James's Hospital, Dublin, Ireland.
School of Nursing and Midwifery, University of Galway, Galway, Ireland.
JBI Evid Synth. 2023 May 1;21(5):952-962. doi: 10.11124/JBIES-22-00275.
The objective of this scoping review is to examine the extent of vascular access research undertaken on the critically ill COVID-19 population.
Two fundamental supportive invasive interventions in the critical care environment are mechanical ventilation and intravenous therapy. Ventilation research has dominated the literature since the pandemic began; however, there has been little research on vascular access devices, despite these interventions existing almost codependently. The systematic proning of this cohort of patients increases the risk of dressing infiltration and infection. Vascular access devices, and the coagulopathic manifestations of COVID-19, place these patients at heightened risk of complications. Vascular access device insertion, care, and maintenance in the critically ill COVID-19 population must be understood to investigate whether this population is at increased risk of vascular access device complications and vessel health compromise.
All study designs will be eligible for inclusion in this review. The intensive care unit will be the main focus of the review. Results will be limited to adults with disease progression severe enough to require admission to critical care.
A search of Embase, MEDLINE (Ovid), Web of Science, and PubMed will be conducted. Clinical trial data will also be sought. As recommended by JBI, a 3-step search process will be followed. Data will be extracted using a data extraction instrument based on a template from JBI. The review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) and the results will be presented in a PRISMA flow diagram. Publication dates will be filtered from 2019 to the present; only English-language results will be included.
本范围综述旨在考察针对危重症 COVID-19 患者进行的血管通路研究的程度。
在重症监护环境中，两种基本的支持性侵入性干预措施是机械通气和静脉治疗。自疫情开始以来，通气研究一直占据着文献的主导地位；然而，尽管这些干预措施几乎是相互依存的，但关于血管通路装置的研究却很少。对这一组患者进行系统的俯卧位会增加敷料渗透和感染的风险。血管通路装置以及 COVID-19 的凝血功能障碍表现，使这些患者面临更高的并发症风险。必须了解危重症 COVID-19 患者的血管通路装置插入、护理和维护，以调查该人群是否存在血管通路装置并发症和血管健康受损的风险增加。
所有研究设计都有资格纳入本综述。综述的主要重点将是重症监护病房。结果将仅限于疾病进展足以需要入住重症监护病房的成年患者。
将对 Embase、MEDLINE（Ovid）、Web of Science 和 PubMed 进行检索。还将寻找临床试验数据。按照 JBI 的建议，将遵循 3 步搜索过程。将使用基于 JBI 模板的数据提取工具提取数据。综述将遵循系统评价和荟萃分析扩展的首选报告项目（PRISMA-ScR），并将以 PRISMA 流程图呈现结果。将筛选出版物日期从 2019 年到现在；仅包括英文结果。
