The Effect of Head of Bed Elevation on Patient Comfort After Angiography

Abstract

Of all the nursing interventions designed to improve patient comfort after angiography, slightly raising the HOB was not a factor in reducing pain/discomfort.

The effect of position change on vital signs, back pain and vascular complications following percutaneous coronary intervention

“…Although it is reliable, PCI is an interventional procedure and is associated with postprocedural vascular injury due to the frequent choice of the femoral artery and similar risk factors it entails (Bakhshi et al., ; Merriweather & Sulzbach‐Hoke, ; Wentworth et al., ). The rate of postprocedural vascular complications in the EG (1%) was lower in the present study ( p < 0.05, Table ), and results obtained herein are similar to those of previous researches (Mohammady et al., ; Pool et al., ; Williams & Bradford, ; Yun & Min, ) which showed that changing the position regularly did not cause an increase in vascular complications; therefore, it was determined that position change was safe for patients after PCI.…”

“…Recently, similar nursing studies have reported the effect of position change after PCI on back pain, as well as vascular complications after PCI (Abdollahi et al., ; Bakhshi et al., ; Yılmaz, Gürgün, & Dramalı, ), the effect of position change on certain vital signs and vascular complications (Farmanbar, Mohammadiyan, Moghaddamniya, Nejad, & Salari, ), the effect of position change regarding pain, patient comfort and certain vital signs (Pool et al., ), and the effect of positional change on intervention pain and all vital signs (Younessi‐Heravi, Yaghubi, & Joharinia, ). Some studies have also looked into the effect of positional changes on back pain, certain vital signs and vascular complication (Haghshenas et al., ; Rezaei‐Adaryani, Ahmadi, Mohamadi, & Asghari‐Jafarabadi, ; Wung et al., ).…”

“…Among the patient‐care goals during the postprocedural period, sustaining tissue perfusion and heart and vascular system operation, regulating vital signs, reducing pain, and supporting movement (Erdil & Özhan Elbaş, ) are important. According to such a procedure, the nurse's independent role is to provide the safest position for the patient (Kaya & Turan, ; Taylor, Lillis, LeMone, & Lynn, ), thereby positively affecting vital signs after PCI and reducing vascular complications and back pain (Abdollahi, Mehranfard, Behnampour, & Kordnejad, ; Haghshenas et al., ; Pool et al., ).…”

Comparison of Head Elevation Protocols Following Femoral Artery Sheath Removal After Coronary Angiography

“…7,10,14,15 Of interest, the significant differences in mean pain scores found at 2 and 3 hours after sheath removal were not found after only 1 hour. This finding is consistent with results of a recent study that measured pain scores only up to 1 hour after angiography, 2 and it warrants further exploration. That study did allow HOB elevation in the first hour, whereas both groups in our study remained flat supine for 1 hour.…”

Compared to femoral venous access, upper extremity right heart catheterization reduces time to ambulation: A single center experience

“…While reduced time to ambulation is very attractive for the outpatient procedures in multivariate analyses we observed that inpatients status was also associated we shorter ambulation times. A‐RHC provides biggest benefit when faced with a patient who is clinically unable to lie supine . These include many congestive heart failure patients and those with underlying pulmonary disease.…”