SHM Converge Scientific Abstract ePoster Gallery-Central Lines in the Medical-Surgical Wards: A Six-Year Overview of Placement by a Hospitalist Bedside Procedure Service

Central Lines in the Medical-Surgical Wards: A Six-Year Overview of Placement by a Hospitalist Bedside Procedure Service

Back to course

Pdf Summary

This six-year review describes a hospitalist Bedside Procedure Service (BPS) that began placing central venous catheters (CVCs), including temporary dialysis catheters, directly on medical/surgical wards at a hospital starting in 2015. Before this program, CVCs were placed only in the ICU or radiology. The goal was to assess the volume, safety, resident involvement, and failure/complication rates of ward-based CVC placement.<br /><br />All procedures were performed with direct ultrasound guidance and portable cardiac monitoring. Patients who could not tolerate the procedure without sedation were referred to the ICU or radiology. Data from 2015–2020 were reviewed from internal logs.<br /><br />Over the study period, the BPS completed 371 CVC procedures. Residents participated in 119 cases (32.1%). A total of 36 procedures (9.7%) were unsuccessful and required referral, most often because of anatomical abnormalities or inability to tolerate the procedure without sedation. Only 3 complications occurred (0.81%): one ventricular tachycardia arrest, one vasovagal bradycardia, and one pneumothorax.<br /><br />The authors conclude that hospitalists can safely and efficiently perform bedside CVC placement on medical/surgical wards in selected patients, with very low complication rates. They also suggest this model improves resource use, increases procedural efficiency, and provides valuable procedural experience for residents.

Asset Subtitle

Sheila Swartz

Meta Tag

Author List Adrian P. Umpierrez De Reguero, Devin Madernberg, Lara Voigt, Matthew Bielecki, Nikola Cuzovic, Sheila Swartz

Category Research

Concept Hospitalist Bedside Procedure Service

Concept Central Venous Catheterization

Concept Success Rate

Concept Complication Rate

Concept Safety Outcomes

Distinguished Non-Finalist

Presenter Organization Medical College of Wisconsin

Presenting Author Sheila Swartz

Track Outcomes Research

Keywords

bedside procedure service

central venous catheter

hospitalist

ward-based procedures

ultrasound guidance

temporary dialysis catheter

resident involvement

procedure safety

complication rates

medical surgical wards

Hospitalist Bedside Procedure Service

Central Venous Catheterization

Success Rate

Complication Rate

Safety Outcomes