The current practice and care of paediatric patients post cardiac catheterisation

Abstract

BackgroundLiterature is lacking to guide standardised care and assessment practices for paediatric patients post cardiac catheterisation. In response to this gap, we sought to describe the current state of practice in cardiology programmes performing paediatric cardiac catheterisations procedures in the United States of America.Materials and methodsA web-based survey was distributed to the Congenital Cardiovascular Interventional Study Consortium Listserv, with representation from 113 identified institutions. A 36-question survey, including fixed-choice and open-ended questions, was developed and piloted for reliability and validity before distribution. Data were summarised descriptively with count and frequency or median and range.ResultsOf the 113 identified institutions, 52% (n=59) responded to the survey. Manual pressure is used to achieve haemostasis by 94.9% of the respondents. Pressure dressings are used by a majority of the facilities and the length of time for bed rest is variable, with the majority using 6 hours for arterial access and 4 hours for venous access. Predominantly, respondents use the time of haemostasis as the start time of bed rest while a third of respondents reported using the time the sheath was removed.ConclusionIn this study, variation in a number of post catheterisation care and assessment practices for paediatric patients was noted across cardiology programmes. Information from this assessment identifies key opportunities to collaborate in developing standardised practices for the care and assessment of the paediatric patients post catheterisation.

Congenital Cardiac Catheterization in Low- and Middle-Income Countries

“…Quality of care in the postprocedure period is a significant determinant of survival in CHD patients undergoing complex interventions. 27 , 28 Further work on understanding the pathway to mortality in such cases may help develop risk mitigation, efficient resource allocation, and QI strategies for such procedures. Use of precase risk prediction tools like Catheterization RISk Score for Pediatrics (CRISP), a publicly available calculator, can also assist in preprocedure planning based on US and international data.…”