![]() ![]() Meta-analysis of randomized controlled trials 15, –, 19comparing antibiotic-coated with uncoated catheters indicates that antibiotic-coated catheters reduce catheter colonization ( Category A1 evidence ). A summary of recommendations may be found in appendix 1. Seventh, all available information was used to build consensus within the Task Force to finalize the Guidelines. ![]() Sixth, the consultants were surveyed to assess their opinions on the feasibility of implementing the Guidelines. Fifth, the Task Force held open forums at three major national meetings†to solicit input on its draft recommendations. Opinions on selected topics related to pediatric patients were solicited from a sample of active members of the Society for Pediatric Anesthesia (SPA). Fourth, opinions about the Guideline recommendations were solicited from a sample of active members of the ASA. Third, expert consultants were asked to (1) participate in opinion surveys on the effectiveness of various central venous access recommendations and (2) review and comment on a draft of the Guidelines. Second, original published research studies from peer-reviewed journals relevant to central venous access were reviewed and evaluated. First, they reached consensus on the criteria for evidence. The Task Force developed the Guidelines by means of a seven-step process. The ASA Guidelines differ from existing guidelines because it addresses the use of bundled techniques, use of an assistant during catheter placement, and management of arterial injury Why does this statement differ from existing guidelines? The ASA Guidelines differ in areas such as insertion site selection ( e.g. , upper body site) guidance for catheter placement ( e.g. , use of real-time ultrasound) and verification of venous location of the catheter How does this statement differ from existing guidelines? This was based on a rigorous evaluation of recent scientific literature as well as findings from surveys of expert consultants and randomly selected ASA members The ASA has created this new Practice Guideline to provide updated recommendations on some issues and new recommendations on issues that have not been previously addressed by other guidelines. Several major organizations have produced practice guidelines on central venous access 128, –, 132 What other guideline statements are available on this topic? ![]()
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