Extension tubes on peripheral vein catheters
A peripheral vein catheter (PVC) is placed in a peripheral vein (usually on the arm of a patient) to facilitate the administration of intravenous injections and infusions of fluids and blood products. Side effects of a PVC include local infection, inflammation of the vein and peripheral blood clots. An extension tube can be connected to the PVC. There is a theory that an extension tube lessens the mechanical stress on the catheter during handling and decreases the bacterial burden of the injection site, thus decreasing side effects.
Question
What systematic reviews have been published regarding the effects of using an extension tube on a peripheral vein catheter?
Method
A systematic literature search was performed using the following databases: Medline via Ovid and Scopus.
Two authors independently assessed the abstracts of all identified studies.
Identified literature
No relevant studies were identified.
Literature search
Medline via OvidSP 16 May 2023
/ = Term from the MeSH controlled vocabulary; .sh = Term from the MeSH controlled vocabulary; exp = Term from MeSH including terms found below this term in the MeSH hierarchy; .ti,ab = Title or abstract; .tw = Title or abstract; .kf = Keywords; .kw = Keywords, exact; .bt = Book title. NLM Bookshelf.; .pt = Publication type; .ja = Journal abbreviation; .af = All fields; adjn = Adjacent. Proximity operator retrieving adjacent words, adj3 retrieves records with search terms within two terms from each other.; * or $ = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
Search terms | Items found | |
Population: | ||
1. | exp Catheterization, Peripheral/ | 13 183 |
2. | (catheter* and ve* and peripher*).ti,ab,kf,bt. | 8079 |
3. | (catheter* and intrave* and peripher*).ti,ab,kf,bt. | 2590 |
4. | (cannula* and ve* and peripher*).ti,ab,kf,bt. | 2160 |
5. | (cannula* and intrave* and peripher*).ti,ab,kf,bt. | 789 |
6. | 2 or 3 or 4 or 5 | 10673 |
7. | 1 or 6 | 21398 |
Outcome: | ||
8. | exp Phlebitis/ | 25839 |
9. | phlebitis. ti,ab,kf,bt. | 4609 |
10. | exp Thrombophlebitis/ | 21996 |
11. | thrombophlebitis. ti,ab,kf,bt. | 7676 |
12. | 8 or 9 or 10 or 11 | 25839 |
13. | exp Infections/ | 3 058 144 |
14. | "infect*". ti,ab,kf,bt. | 2158001 |
15. | adverse effect*.mp. | 2122188 |
16. | adverse event*.mp. | 221549 |
17. | 12 or 13 or 14 or 15 or 16 | 5879510 |
Study types: systematic reviews and meta-analysis / randomized controlled trials | ||
18. | ((Systematic Review/ or Meta-Analysis/ or Cochrane Database Syst Rev.ja. or ((systematic adj4 review) or "meta analys*" or metaanalys*).ti,bt,ab.) not (editorial/ or letter/ or case reports/)) | 430339 |
Combined sets: | ||
19. | 7 and 17 | 9966 |
Final result | ||
20. | 18 and 19 | 283 |
Scopus via scopus.com 16 May 2023
TITLE-ABS-KEY = Title, abstract or keywords (including indexed keywords and author keywords); ALL = All fields; W/n = Within. Proximity operator retrieving terms within n words from each other.; PRE/n = Precedes by. Proximity operator, the first term in the search must precede the second by n words.; LIMIT-TO (X) = Includes only results of specified type, e.g., publication type or time range.; DOCTYPE = Publication type; “re” = review; “le” = letter; “ed” = editorial; “ch” = book chapter; “cp” = conference proceedings; * = Truncation; “ “ = Citation Marks; searches for an exact phrase | ||
Search terms | Items found | |
Population: | ||
1. | TITLE-ABS-KEY (peripheral W/3 *ve*n* W/3 catheter*) | 15 992 |
2. | TITLE-ABS-KEY (peripheral W/3 *ve*n* W/3 cannula*) | 4318 |
3. | 1 or 2 | 17222 |
Outcome: | ||
4. | TITLE-ABS-KEY (phlebitis) | 16791 |
5. | TITLE-ABS-KEY (thrombophlebitis) | 36235 |
6. | TITLE-ABS-KEY (infect*) | 6796601 |
7. | TITLE-ABS-KEY (advers* W/2 effect*) | 819460 |
8. | TITLE-ABS-KEY (advers* W/2 event*) | 734973 |
9. | 4 or 5 or 6 or 7 or 8 | 7917258 |
Study types: systematic reviews and meta-analysis / randomized controlled trials | ||
10. | TITLE-ABS-KEY ( ( systematic W/2 review ) OR "meta analy*" OR metaanaly* ) AND (EXCLUDE (DOCTYPE, “le”) OR EXCLUDE (DOCTYPE, “ed”) OR EXCLUDE (DOCTYPE, “ch”) OR EXCLUDE (DOCTYPE, “cp”)) | 627,520 |
Combined sets: | ||
11. | 3 AND 9 | 9820 |
Final result | ||
12. | 11 AND 10 | 711 |