Predictors of Complications after Sheath Removal Post Transfemoral Percutaneous Coronary Interventions

Batiha, Abdul-Monim; Abu-Shaikha, Hayat Sulieman; Alhalaiqa, Fadwa; Jarrad, Reem Ahmad

doi:10.4236/ojn.2016.66052

Cited by 5 publications

(6 citation statements)

References 28 publications

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“…Batiha, Abu‐Shaikha, Alhalaiqa, Jarrad, & Abu Ramadan () proposed that the removal of the sheath during post‐PCI care should be considered among the responsibilities of critical care nurses. However, the monitoring and management of post‐PCI complications require the involvement of not only nurses, but also other health professionals; such a team would use critical assessment skills to anticipate and detect any vascular problem, allowing them to manage PCI complications at the earliest possible opportunity.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of using vascular closure devices for hemostasis on sheath removal after a transfemoral artery percutaneous coronary intervention

Chang

et al. 2018

Japan Journal Nursing Sci

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The VCDs seem to be superior to the MCs, providing more successful hemostasis, less pain and discomfort, and earlier ambulation after a transfemoral PCI. These findings aid clinical nurses in understanding the risk of vascular complications, discomfort, and pain that are associated with VCD use for improving the quality of clinical care and help clinicians in determining the appropriate hemostatic method for patients undergoing a transfemoral PCI, particularly in the Chinese population.

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Section: Discussionmentioning

confidence: 99%

Safety and efficacy of using vascular closure devices for hemostasis on sheath removal after a transfemoral artery percutaneous coronary intervention

Chang

et al. 2018

Japan Journal Nursing Sci

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“…An examination of the literature also suggests that other factors may influence people's perceptions toward FWR are education, training, and experience [53][54][55][56][57][58][59][60].…”

Section: Specific Literature Review On Fwr and Research Gapsmentioning

confidence: 99%

A Review on the End-of-Life Care

Adeniran

2021

BJSTR

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Background to the StudyThere is a huge distinction between death occurrences and believes in the past and that of the present. The level of death occurrence in the present is increasing compared to the past, and it is influenced by population increase, globalization, global warming, internet penetration, and various discoveries. According to Carlet et al (2004), death is frequently a private, religious or spiritual event with a group of family members and friends gathered around the victim. However, as death becomes a topic of public concern and more technical procedures are introduced to avoid or facilitate dying, the picture of death is changing [1]. End-of-life care for families and their patients has been a hot topic for the past two to three decades. This could be in consequence of a variety of factors, such as the shifting away from a solely medical perspective and toward a more holistic approach to caring. [2], for example, said that the early 1970s saw a transition away from a strictly biomedical survival perspective and toward a dual perspective. This includes focusing care on saving lives and enhancing medical identities, as well as taking care of family members and developing numerous social identities. Supporting life procedures and modern technology introduced to the treatment process contribute to hospitalized patients' disease becoming more severe [3].Most significantly, in today's healthcare environment, families and their patients expect to be included in the treatment process as well as in the decision-making process [4]. The majority of the

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“…In the United States 3% of vascular access site complications almost 90,000 patients have been affected affected annually in 3 million procedures [17] Comparatively, as per evidence, the rate of hematoma development between comorbidities (hypertension, diabetes and obesity) are the factors of the vascular site complications [18]. The rate of hematoma development among hypertensive patients was (73%) and diabetes (49%) among post coronary interventions [19]. Moreover, obesity has been identified as a correlated factor with hematoma development post coronary intervention [20].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Standardized Nursing Care Protocol Post Cardiac Catheterization to Reduce Hematoma Development

Sania

Nazly

Siddiqui

et al. 2022

JPRI

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Background: Hematoma development is the most common vascular access complication among post-cardiac catheterization patients. It requires safe and standardized nursing care protocol, as well as qualified and skilled health providers to obtain good outcomes of management. The vascular complications were severe and increased the length of stay in the hospital. Timely recognition and management can diminish their burden. Objectives To evaluate the effectiveness of Standardized Nursing Care Protocol Post cardiac catheterization to reduce hematoma development. To assess the association of hematoma development between procedure site (radial and femoral) and comorbidities (diabetes, hypertension, and obesity) among post-cardiac catheterized patients. Methodology: This quasi-experimental (post) study was conducted at Coronary Care Units at tertiary care hospitals in Karachi. In this study, a total of 108 post-cardiac catheterized patients participated. The patients were divided into two groups; the interventional group and the control group. In the control group, 54 post-cardiac catheterized patients were selected and data were taken based on inclusion criteria who received routine holistic nursing care post-procedure and have been discharged. Besides 54 patients participated in the interventional group who received Standardized Nursing Care Protocol post-cardiac catheterization including proper patient assessment, compression techniques, interventions pre, during and post sheath and TR-band removal to discharge instruction by the principal investigator (PI). The data was collected through patients’ assessment sheets and hematoma scales for the identification of hematoma development rate among post-cardiac catheterized patients. The non-probability consecutive sampling technique was accomplished for the collection of data. Findings: The rate of hematoma development in the (control) group was reflected at 18 (33.3 %) while after the implementation of the standardized nursing care protocol the rate of hematoma development was 9 (16.6%) in the (interventional) group out of 54 (50%) post-cardiac catheterized patients. There was a significant difference between the (control) and (interventional) groups regarding the rates of hematoma development post-cardiac catheterization i.e. the P values were 0.037 ˂ 0.05. Thus, the standardized nursing care protocol post-cardiac catheterization was effective in the reduction of hematoma development. Furthermore, the radial site procedure reflected fewer rates of hematoma development 8 (14.81%) as compared to the femoral site procedure 19 (35.1%) among post-cardiac catheterized out of 54 (50%). The P-value was 0.058 > 0.05 there was no association between hematoma development and procedure site in the (interventional and control) groups post-cardiac catheterization. Similarly, the P-value was greater than 0.05 hence there was no association between hematoma development and comorbidities (diabetes, hypertension, and obesity) post-cardiac catheterization. Conclusion: The implementation of Standardized Nursing Care Protocol post-cardiac catheterization was effective for the reduction of hematoma development in the (intervention) group while there was an association of hematoma development between the (control and interventional) groups. However, there was no association between hematoma development and site procedure (radial and femoral) and comorbidities (diabetes, hypertension, and obesity) post-cardiac catheterization.

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Predictors of Complications after Sheath Removal Post Transfemoral Percutaneous Coronary Interventions

Cited by 5 publications

References 28 publications

Safety and efficacy of using vascular closure devices for hemostasis on sheath removal after a transfemoral artery percutaneous coronary intervention

Safety and efficacy of using vascular closure devices for hemostasis on sheath removal after a transfemoral artery percutaneous coronary intervention

A Review on the End-of-Life Care

Effectiveness of Standardized Nursing Care Protocol Post Cardiac Catheterization to Reduce Hematoma Development

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