Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

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

    152792_152792.pdf (260.5Kb)
    Access Status
    Open access
    Authors
    Yacopetti, N.
    Alexandrou, Evan
    Spencer, T.
    Frost, S.
    Davidson, Patricia
    O'Sullivan, G.
    Hillman, K.
    Date
    2010
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Yacopetti, Nic and Alexandrou, Evan and Spencer, Tim R. and Frost, Steven A. and Davidson, Patricia M. and O'Sullivan, Greg and Hillman, Ken M. 2010. Central venous catheter insertion by a clinical nurse consultant or anaesthetic medical staff: a single-centre observational study. Critical Care and Resuscitation. 12 (2): pp. 90-94.
    Source Title
    Critical Care and Resuscitation
    ISSN
    1441-2772
    School
    Centre for Cardiovascular and Chronic Care
    Remarks

    Published by the College of Intensive Care Medicine of Australia and New Zealand.

    URI
    http://hdl.handle.net/20.500.11937/31873
    Collection
    • Curtin Research Publications
    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.

    Related items

    Showing items related by title, author, creator and subject.

    • A randomized trial of catheters of different lengths to achieve right atrium versus superior vena cava placement for continuous renal replacement therapy
      Morgan, D.; Ho, K.; Murray, C.; Davies, Hugh; Louw, J. (2012)
      Background: The aim was to assess whether inserting a longer soft silicone short-term dialysis catheter targeting tip placement in the right atrium could improve dialyzer circuit life span compared with inserting a shorter ...
    • Protocol of the Australasian Malignant Pleural Effusion-2 (AMPLE-2) trial: A multicentre randomised study of aggressive versus symptom-guided drainage via indwelling pleural catheters
      Azzopardi, M.; Thomas, R.; Muruganandan, S.; Lam, D.; Garske, L.; Kwan, B.; Rashid Ali, M.; Nguyen, P.; Yap, E.; Horwood, F.; Ritchie, A.; Bint, M.; Tobin, C.; Shrestha, R.; Piccolo, F.; De Chaneet, C.; Creaney, J.; Newton, R.; Hendrie, Delia; Murray, K.; Read, C.; Feller-Kopman, D.; Maskell, N.; Gary Lee, Y. (2016)
      Introduction: Malignant pleural effusions (MPEs) can complicate most cancers, causing dyspnoea and impairing quality of life (QoL). Indwelling pleural catheters (IPCs) are a novel management approach allowing ambulatory ...
    • Establishing a Nurse-Led Central Venous Catheter Insertion Service
      Alexandrou, Evan; Spencer, T.; Frost, S.; Parr, M.; Davidson, Patricia; Hillman, K. (2010)
      Background: Health care systems promote care models that deliver both safety and quality. Nurse-led vascular access teams show promise as a model to achieve hospital efficiencies and improve patient outcomes. Objectives: ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.