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

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dc.contributor.author Yacopetti, N
dc.contributor.author Alexandrou, E
dc.contributor.author Spencer, TR
dc.contributor.author Frost, SA
dc.contributor.author Davidson, PM
dc.contributor.author O'Sullivan, G
dc.contributor.author Hillman, KM
dc.date.accessioned 2012-02-10T06:09:49Z
dc.date.issued 2010-06
dc.identifier.citation Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine, 2010, 12 (2), pp. 90 - 95
dc.identifier.issn 1441-2772
dc.identifier.other C1UNSUBMIT 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.
dc.format Print
dc.language eng
dc.title Central venous catheter insertion by a clinical nurse consultant or anaesthetic medical staff: a single-centre observational study.
dc.type Journal Article
dc.parent Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine
dc.journal.volume 2
dc.journal.volume 12
dc.journal.number 2 en_US
dc.publocation Australia en_US
dc.identifier.startpage 90 en_US
dc.identifier.endpage 95 en_US
dc.cauo.name FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1103 Clinical Sciences
dc.personcode 110950
dc.percentage 100 en_US
dc.classification.name Clinical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords NA en_US
dc.description.keywords Humans
dc.description.keywords Bacteremia
dc.description.keywords Cross Infection
dc.description.keywords Catheterization, Central Venous
dc.description.keywords Equipment Design
dc.description.keywords Catheters, Indwelling
dc.description.keywords Anesthesiology
dc.description.keywords Clinical Competence
dc.description.keywords Adult
dc.description.keywords Aged
dc.description.keywords Middle Aged
dc.description.keywords Nurse Clinicians
dc.description.keywords New South Wales
dc.description.keywords Female
dc.description.keywords Male
dc.description.keywords Catheter-Related Infections
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Closed Access
utslib.copyright.date 2015-04-15 12:17:09.805752+10
utslib.collection.history Closed (ID: 3)
utslib.collection.history Uncategorised (ID: 363)

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