AffiliationChristie Hospital, Wilmslow Road, Manchester M20 4BX, UK.
MetadataShow full item record
AbstractThe 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.
CitationNurse-led central venous catheter service: Christie experience. 2006, 79 (945):762-5 Br J Radiol
JournalThe British Journal of Radiology
- Catheter malplacement during central venous cannulation through arm veins in pediatric patients.
- Authors: Chaturvedi A, Bithal PK, Dash H, Chauhan RS, Mohanty B
- Issue date: 2003 Jul
- Central venous catheter placement by advanced practice nurses demonstrates low procedural complication and infection rates--a report from 13 years of service*.
- Authors: Alexandrou E, Spencer TR, Frost SA, Mifflin N, Davidson PM, Hillman KM
- Issue date: 2014 Mar
- Subclavian vein dialysis access catheter-complications are low.
- Authors: Karkee DV
- Issue date: 2010 Dec
- A review of 5434 percutaneous pediatric central venous catheters inserted by anesthesiologists.
- Authors: Malbezin S, Gauss T, Smith I, Bruneau B, Mangalsuren N, Diallo T, Skhiri A, Nivoche Y, Dahmani S, Brasher C
- Issue date: 2013 Nov
- A multicenter evaluation of a compact, sterile, single-use pressure transducer for central venous catheter placement.
- Authors: Togashi K, Nandate K, Hoaglan C, Sherman B, Bowdle A
- Issue date: 2013 May