Nurse-led central venous catheter service: Christie experience.
dc.contributor.author | Gopal, K | |
dc.contributor.author | Fitzsimmons, Lesley | |
dc.contributor.author | Lawrance, Jeremy A L | |
dc.date.accessioned | 2009-07-03T13:57:02Z | |
dc.date.available | 2009-07-03T13:57:02Z | |
dc.date.issued | 2006-09 | |
dc.identifier.citation | Nurse-led central venous catheter service: Christie experience. 2006, 79 (945):762-5 Br J Radiol | en |
dc.identifier.issn | 1748-880X | |
dc.identifier.pmid | 16641413 | |
dc.identifier.doi | 10.1259/bjr/79794134 | |
dc.identifier.uri | http://hdl.handle.net/10541/72454 | |
dc.description.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. | |
dc.language.iso | en | en |
dc.subject.mesh | Adult | |
dc.subject.mesh | Aged | |
dc.subject.mesh | Aged, 80 and over | |
dc.subject.mesh | Catheterization, Central Venous | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Male | |
dc.subject.mesh | Middle Aged | |
dc.subject.mesh | Program Evaluation | |
dc.subject.mesh | Prospective Studies | |
dc.subject.mesh | Subclavian Vein | |
dc.title | Nurse-led central venous catheter service: Christie experience. | en |
dc.type | Article | en |
dc.contributor.department | Christie Hospital, Wilmslow Road, Manchester M20 4BX, UK. | en |
dc.identifier.journal | The British Journal of Radiology | en |
html.description.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. |