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    Nurse-led central venous catheter service: Christie experience.

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    Authors
    Gopal, K
    Fitzsimmons, Lesley
    Lawrance, Jeremy A L
    Affiliation
    Christie Hospital, Wilmslow Road, Manchester M20 4BX, UK.
    Issue Date
    2006-09
    
    Metadata
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    Abstract
    The aim of this study was to evaluate the success and complication rate of Nurse-led subclavian central venous catheter (CVC) insertion using the landmark technique. A prospective study was performed on all subclavian CVC insertion between 13/01/03 to 01/07/03. Data recorded included indication for catheter insertion, type of catheter, complications during the procedure and patient satisfaction. A total of 348 subclavian cuffed tunnelled catheters were inserted over the study period. The age group ranged from 31 years to 84 years with a mean age of 53 years. This included 192 women and 156 men. The majority of CVC insertions were through the right subclavian (79%) and were single lumen (76%). In total, complications were encountered in 48 patients (14%). These included misplaced tip in 29 (8%), arterial puncture in 16 (4%), pneumothorax in 3 (1%) and the procedure failed in 3 (1%). Of these multiple complications were seen in 3 (1%). No interventions were required for the pneumothoraces or for the arterial punctures. In conclusion, nurse-led subclavian CVC placements using the landmark technique are both safe and effective.
    Citation
    Nurse-led central venous catheter service: Christie experience. 2006, 79 (945):762-5 Br J Radiol
    Journal
    The British Journal of Radiology
    URI
    http://hdl.handle.net/10541/72454
    DOI
    10.1259/bjr/79794134
    PubMed ID
    16641413
    Type
    Article
    Language
    en
    ISSN
    1748-880X
    ae974a485f413a2113503eed53cd6c53
    10.1259/bjr/79794134
    Scopus Count
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