Objective To systematically evaluate effects of enhanced recovery after surgery (ERAS) programme on clinical outcomes of liver resection during perioperative period. Methods The randomized controlled trials (RCTs) of comparing ERAS programme with traditional care programme in patients underwent liver resection were searched by Wanfang, VIP, CNKI, PubMed, Embase, and Cochrane Library databases from inception to January 2016. The quality of the included RCT was assessed independently according to the Cochrane handbook–version 5.1.0 by two reviewers. Meta-analysis was conducted for the eligible RCTs by using RevMan 5.3.0. Results Seven RCTs containing 844 patients were included in this meta-analysis. There were 35 cases of benign tumor, 809 cases of malignant tumor. The ERAS programmes were performed in 415 patients, while the traditional care programmes were performed in 429 patients. Compared with the traditional care programme, the overall complications rate and the Dindo-Clavien grade Ⅰ complications rate were significantly lower〔OR=0.59, 95%CI (0.41, 0.87),P=0.007;OR=0.45, 95%CI (0.27, 0.76),P=0.002〕, the hospital stay and the first anal exhaust time were significantly shorter〔WMD=–2.66, 95%CI (–3.64, –1.69),P<0.000 01;WMD=–20.25, 95%CI (–32.08, –8.42),P=0.000 8〕 in the ERAS programme, but there was no statistically significant difference of the Dindo-Clavien grade Ⅱ–Ⅳ complications rate between these two groups〔OR=0.93, 95%CI (0.53, 1.63),P=0.80〕. Conclusions ERAS is a safe and effective programme in liver resection during perioperative period. Future studies should define active elements to optimize postoperative outcomes for liver resection.
ObjectiveTo analyze the relevant literatures on the use of midline catheters in China, and to provide references for further studies of midline catheters.MethodsAll literatures related to midline catheters from the date of database establishment to February 2019 were searched in the China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals (VIP), Wan-Fang Database, and China Biomedical Literature Database (CBM). Bibliometric analysis methods were used to analyze the search results.ResultsTotally 47 articles related to midline catheters were recruited and the number of publications increased in recent years. About 44.68% papers were focused on introducing experiences of the operation process, nursing points, prevention and treatment of complications, and about 38.30% papers were observational studies about indwelling time of midline catheters and complications rate.ConclusionsMore and more attention has been paid to the midline catheters, but further studies with large samples and high quality are still needed, in order to provide more evidence for the application and popularization of midline catheters in China, and choose a safe, comfortable, convenient, low-cost and high-benefit intravenous infusion device for patients.