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Frontline Gastroenterol doi:10.1136/flgastro-2012-100154
  • Liver
  • Review

Feasibility and experience of nurse-led ultrasound-guided percutaneous liver biopsy

  1. Hyder Syed Hussaini1
  1. 1Department of Gastroenterology, Royal Cornwall Hospital, Truro, UK
  2. 2Department of Radiology, Royal Cornwall Hospital, Truro, UK
  1. Correspondence to Elizabeth Anne Farrington, Royal Cornwall Hospital, Department of Gastroenterology, Treliske, Truro, Cornwall TR1 3LJ, UK; elizabeth.farrington{at}rcht.cornwall.nhs.uk
  1. Contributors EAF accepts full responsibility for the finished article, had access to all data and controlled the decision to publish. The article was written in full by EAF. The training for percutaneous liver biopsy (PLB) was fully administered by GM who also proof read the article with one comment about the biopsy type of needle. HSH supported theoretical training of PLB and also proof read the article with some comments.

  • Received 17 February 2012
  • Accepted 14 March 2012
  • Published Online First 13 April 2012

Abstract

The demand for collaborative and innovative clinical practitioners to act as leaders in healthcare remains strong as many challenges are faced including rising costs, shortage of professionals, the introduction of new technology and difficulties with access to care. Nurses in advanced nursing practice are well positioned to respond to this, playing a key role in building nursing knowledge, advancing the nursing profession and contributing to sustainable and effective healthcare systems. Percutaneous liver biopsy (PLB) is an essential tool used for diagnosis and management in liver disease, being most commonly performed by consultant gastroenterologists, hepatologists and radiologists. While invasive and with complications PLB is a simple, cost-effective procedure that can be undertaken at the bedside. Our study demonstrates that an advanced nurse practitioner (ANP) with a sound working knowledge of hepatology and familiarity with indications, methods and risks of PLB procedure can be trained to perform ultrasound-guided liver biopsy both safely and effectively.

Footnotes

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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