Objective To summarize the best evidence on process management of unscheduled termination for continuous renal replacement therapy(CRRT),and to provide medical staff with standardized and scientific evidence-based basis for prevention and management.Methods According to the"6S"model of evidence resources,literatures were systematically searched in clinical decision systems,guidelines and professional medical association websites,evidence-based databases and comprehensive databases from August 2017 to August 15,2023.Four researchers screened the literatures,evaluated the quality,extracted and summarized the evidence.Results A total of 18 articles were included,with 2 guidelines,5 clinical decisions,1 JBI recommended practice,4 consensuses,3 evidence summaries and 3 systematic reviews.A total of 30 pieces of evidence were summarized from 4 aspects,namely administration management,pre-operation management,operation management and post-operation management.Conclusion The best evidence summarized is scientific and practical,and of significance for the process management of unscheduled termination.
关键词
连续性肾脏替代治疗/非计划下机/滤器寿命/循证护理
Key words
continuous renal replacement therapy/unscheduled termination/filter service life/evidence-based nursing