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The Supraclavicular Fossa Ultrasound View for Central Venous Catheter Placement and Catheter Change Over Guidewire
Published on: December 23, 2014
Managing central venous catheters: a prospective randomised trial of two methods
K A Larwood1, C M Anstey, S V Dunn
1Nambour General Hospital, Queensland.
Summary
The aseptic, non-touch technique for changing central venous catheter (CVC) lines significantly reduced CVC tip colonization and CVC-related bacteraemia compared to the sterile technique. This method is safe and cost-effective.
Area of Science:
- Infection Control
- Medical Devices
- Clinical Microbiology
Background:
- Central venous catheters (CVCs) are essential but pose infection risks.
- Standard sterile techniques for CVC line management are resource-intensive.
- Alternative methods to reduce CVC infections are needed.
Purpose of the Study:
- To compare the efficacy of aseptic, non-touch technique versus sterile technique for CVC fluid and line changes.
- To evaluate the impact on CVC tip colonization (CTC) and CVC-related bacteraemia (CRB).
Main Methods:
- A randomised, prospective study involving 79 patients and 111 CVC samples.
- Control group: standard sterile technique for fluid and line changes.
- Experimental group: aseptic, non-touch technique with minimal sterile equipment.
Main Results:
- CTC rates were 31% (sterile) vs. 14% (aseptic, non-touch).
- CRB rates were 8.2% (sterile) vs. 6% (aseptic, non-touch).
- Staphylococcus aureus and S. epidermis were the most common organisms.
Conclusions:
- The aseptic, non-touch technique is a safe and effective alternative for CVC fluid and line changes.
- This method leads to significant cost savings due to reduced equipment and nursing time.
- Implementation of this technique can improve healthcare efficiency.
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