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Outcomes VAD choice and insertion decision-making generally speaking hospitalized and some specific patient populations were well evidenced. The usage single-lumen products and ultrasound-guided methods had been also broadly supported. There was deficiencies in RCTs, as well as for neonates, cardiac patients, clients with tough venous accessibility, midline catheters, catheter-to-vein proportion, and near-infrared devices, the lack of research necessitated broadening the review scope.