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Related Experiment Video

Updated: Apr 28, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
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Impact--improving patient access time: arterial cannulation.

Kathryn E Cole, Lorna M Johnson

    Intensive & Critical Care Nursing
    |May 31, 2014
    PubMed
    Summary
    This summary is machine-generated.

    Advanced critical care practitioners (ACCPs) safely perform arterial catheterization, reducing insertion delays and complications. This study demonstrates ACCP competency in arterial line insertion, improving patient outcomes in high dependency units.

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    Area of Science:

    • Critical Care Medicine
    • Nursing Practice
    • Healthcare Quality Improvement

    Background:

    • Arterial catheterization is a critical procedure in high dependency units (HDUs).
    • Developing clinical competency in arterial line insertion is essential for advanced practitioners.
    • Evaluating the impact of different staff groups performing the procedure is crucial for service optimization.

    Purpose of the Study:

    • To assess the development of clinical competency in arterial catheterization by advanced critical care practitioners (ACCPs).
    • To evaluate the impact of ACCPs performing arterial line insertions compared to medical colleagues.
    • To improve patient safety and reduce delays and complications associated with arterial catheterization.

    Main Methods:

    • Service development project utilizing a service redesign route-map.
    • Pre- and post-implementation audit design to establish a baseline and evaluate changes.
    • Data collection in an Adult General High Dependency Unit (HDU) at a large teaching hospital.

    Main Results:

    • Insertion complications decreased by 9% with no increase in infection rates during ACCP insertions.
    • Post-procedure complications increased by 18% overall, but this was attributed to medical team insertions, not ACCP insertions.
    • Mean wait time for arterial line insertion reduced significantly from 4.3 hours to 1.2 hours overall, and to under 45 minutes for ACCP insertions.
    • The total number of arterial punctures per patient decreased to less than three.

    Conclusions:

    • ACCPs demonstrated safe and effective arterial line insertion in critically ill HDU patients.
    • Regular practice of arterial catheterization by ACCPs led to improved technique and reduced delays.
    • The project successfully achieved its outcomes, enhancing patient safety and service efficiency.