Central venous catheter insertion by a clinical nurse consultant or anaesthetic medical staff: a single-centre observational study.

Yacopetti, N; Alexandrou, E; Spencer, TR; Frost, SA; Davidson, PM; O'Sullivan, G; Hillman, KM

Central venous catheter insertion by a clinical nurse consultant or anaesthetic medical staff: a single-centre observational study.

Yacopetti, N Alexandrou, E Spencer, TR Frost, SA Davidson, PM

O'Sullivan, G Hillman, KM

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Publication Type:: Journal Article
Citation:: Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2010, 12 (2), pp. 90 - 95
Issue Date:: 2010-01-01

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Field	Value	Language
dc.contributor.author	Yacopetti, N	en_US
dc.contributor.author	Alexandrou, E	en_US
dc.contributor.author	Spencer, TR	en_US
dc.contributor.author	Frost, SA	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.contributor.author	O'Sullivan, G	en_US
dc.contributor.author	Hillman, KM	en_US
dc.date.issued	2010-01-01	en_US
dc.identifier.citation	Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2010, 12 (2), pp. 90 - 95	en_US
dc.identifier.issn	1441-2772	en_US
dc.identifier.uri	http://hdl.handle.net/10453/17145
dc.description.abstract	OBJECTIVE: To compare clinical outcomes of elective central venous catheter (CVC) insertions performed by either a clinical nurse consultant (CNC) or anaesthetic medical staff (AMS). DESIGN, SETTING AND PARTICIPANTS: Prospective audit of a convenience sample of consecutive CVC insertions between July 2005 and October 2007 at a metropolitan teaching hospital in Sydney, Australia. The sample included all outpatients and inpatients requiring a CVC for either acute or chronic conditions. MAIN OUTCOME MEASURES: Number of CVC lines inserted; differences between outcomes in the CNC and AMS groups; complications during and after insertion. RESULTS: Over a 28-month period, 245 CVCs were inserted by AMS and 123 by the CNC. The most common indications for CVC placement in both groups were for the treatment of oncology and autoimmune disorders (61%) and for antibiotic therapy (27%). Other indications were parenteral nutrition (2%) and other therapies (10%). There was no significant difference in complications on insertion between the CNC and AMS groups. AMS failed to obtain access in 12 attempted procedures compared with eight by the CNC. The rate of CVCs investigated for infection was twice as high in the AMS group as in the CNC group (19% v 8%). The confirmed catheter-related bloodstream infection (CRBSI) rate was 2.5/1000 catheters in the AMS group and 0.4/1000 catheters in the CNC group (P = 0.04). CONCLUSION: Insertion outcomes were favourable in both the AMS and CNC groups. Infection outcomes differed between groups, with a higher rate of CRBSI in the AMS group.	en_US
dc.relation.ispartof	Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Bacteremia	en_US
dc.subject.mesh	Cross Infection	en_US
dc.subject.mesh	Catheterization, Central Venous	en_US
dc.subject.mesh	Equipment Design	en_US
dc.subject.mesh	Catheters, Indwelling	en_US
dc.subject.mesh	Anesthesiology	en_US
dc.subject.mesh	Clinical Competence	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Nurse Clinicians	en_US
dc.subject.mesh	New South Wales	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Catheter-Related Infections	en_US
dc.title	Central venous catheter insertion by a clinical nurse consultant or anaesthetic medical staff: a single-centre observational study.	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	12	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	12	en_US

Abstract:

OBJECTIVE: To compare clinical outcomes of elective central venous catheter (CVC) insertions performed by either a clinical nurse consultant (CNC) or anaesthetic medical staff (AMS). DESIGN, SETTING AND PARTICIPANTS: Prospective audit of a convenience sample of consecutive CVC insertions between July 2005 and October 2007 at a metropolitan teaching hospital in Sydney, Australia. The sample included all outpatients and inpatients requiring a CVC for either acute or chronic conditions. MAIN OUTCOME MEASURES: Number of CVC lines inserted; differences between outcomes in the CNC and AMS groups; complications during and after insertion. RESULTS: Over a 28-month period, 245 CVCs were inserted by AMS and 123 by the CNC. The most common indications for CVC placement in both groups were for the treatment of oncology and autoimmune disorders (61%) and for antibiotic therapy (27%). Other indications were parenteral nutrition (2%) and other therapies (10%). There was no significant difference in complications on insertion between the CNC and AMS groups. AMS failed to obtain access in 12 attempted procedures compared with eight by the CNC. The rate of CVCs investigated for infection was twice as high in the AMS group as in the CNC group (19% v 8%). The confirmed catheter-related bloodstream infection (CRBSI) rate was 2.5/1000 catheters in the AMS group and 0.4/1000 catheters in the CNC group (P = 0.04). CONCLUSION: Insertion outcomes were favourable in both the AMS and CNC groups. Infection outcomes differed between groups, with a higher rate of CRBSI in the AMS group.

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http://hdl.handle.net/10453/17145