Summary of Best Evidence for Evaluation and Prevention of Bleeding from Percutaneous Liver Biopsy in Children
Objective To summarize the best evidence-based medical evidence to evaluate and prevent bleeding dur-ing percutaneous liver biopsy in children,so as to provide guidance for clinicians.Methods Clinical decision-making,clinical practice guidelines,best practices recommendations,evidence summaries,expert consensus,and systematic re-views related to bleeding after percutaneous liver biopsy bleeding assessment and prevention were systematically searched from Chinese and English databases and guideline websites.The search period extended from the inception of each database up until August 16,2022.Relevant tools were used to evaluate the quality of the articles,and the evidence was summarized,evaluated and graded using the evidence grading and recommendation grading system of Joanna Briggs Institute Evidence-Based Health Care Center in Australia.Results A total of 10 literatures were incorporated,including 3 clinical decision-making,2 guidelines,1 evidence summary,3 expert consensus,and 1 systematic review,and 22 best evidences on the evaluation and prevention of bleeding in children with percutaneous liver biopsy were summa-rized.Conclusions The management,early recognition and prevention of bleeding during percutaneous liver biopsy in children are of vital importance.It is recommended to carry out ultrasound throughout the perioperative period to ensure safe execution of procedures and the early detection of bleeding complications in children.
childrenliver biopsybleedingevidence-based medicine
万方数据
维普
