Transparent Film Dressing vs Pressure Dressing After Percutaneous Transluminal Coronary Angiography

McIe, Stacie; Petitte, Trisha; Pride, L.G.; Leeper, Donna; Ostrow, C. Lynne

doi:10.4037/ajcc2009949

Cited by 8 publications

(16 citation statements)

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“…The literature review revealed the prevalence of adverse skin reactions is “unknown, as official figures are unavailable and where they do exist are thought to be unreliable” (Conway & Whettam, ). There was one study where film dressings were compared with pressure dressings for postpercutaneous transluminal coronary angiography patients; one patient in a sample of 35 was found to have skin irritation (McIe, Pettite, Pride, Leeper, & Ostrow, ). This present study also found very low incidence of skin irritation with film dressings.…”

Section: Resultsmentioning

confidence: 99%

Pilot study: Assessing the effect of continual position monitoring technology on compliance with patient turning protocols

2017

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AimThe study aim was to evaluate if continual patient position monitoring, taking into account self‐turns and clinician‐assisted turns, would increase the percentage of time a patient's position changed at least every 2 hr.BackgroundWhile patient turning has clinical benefits, current models to help staff remember to turn patients, such as “turn clocks” and timers, have not resulted in high compliance with turning protocols. In addition, reminders are based on arbitrary 2‐hr windows (such as turning on “even” hours) rather than on individual patient activity, including self‐turns.DesignThis is a first inpatient, non‐randomized, pre‐/postintervention study.MethodsData collection occurred from May 2013–February 2014 on a 39‐bed medical unit in a community hospital. Baseline patient turning data were recorded by a sensor; however, the patient data were not displayed at the nurses’ station to establish compliance with the hospital's turning protocol. Postintervention, patient position information was wirelessly displayed on nurses’ station computer monitors in real time. A Student t test was used to compare baseline to postintervention “mean time in compliance.”ResultsData from 138 patients (N = 7,854 hr of monitoring) were collected. The baseline phase yielded 4,322 hr of position monitoring data and the postintervention phase yielded 3,532 hr of data. Statistically significant improvement was demonstrated in the percentage of time a patient's position changed at least every 2 hr from baseline to postintervention.

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Section: Resultsmentioning

confidence: 99%

Pilot study: Assessing the effect of continual position monitoring technology on compliance with patient turning protocols

2017

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“…Cardiac catheterization with coronary angiography has become a common procedure performed worldwide. It is now considered a safe procedure that can be done on an outpatient basis [1]. These procedures involving arterial puncture carry a risk of access site complications estimated to occur in 1% to 5% of procedures.…”

Section: Introductionmentioning

confidence: 99%

“…Many patients have experienced skin irritation where tape has been applied. Nurses have also described difficulty in assessing the sheath insertion site in the groin when a pressure dressing is in place [1]. Previous studies examining pressure dressing which was applied to other types of incision have failed to show a decrease in complication such as hematoma formation [4].…”

Section: Introductionmentioning

confidence: 99%

“…New techniques have been developed Volume 3 | Issue 3 | 1 of 5 and used to decrease incidence of such complication. one of these techniques is the application of transparent film dressing (TFD) at puncture site after cardiac catheterization which approved and rated better with regard to : comfort , ease of use , ease of dressing removal , less pain , decrease hematoma formation ,also better cosmetic appearance and greater patient acceptance were noted with the use of TFD [1]. Furthermore , this type of dressing will facilitate nurses assessment of the puncture site and enhance early detection of any complication might be encountered since nurses will have the ability to visually assess ongoing bleeding in the subcutaneous tissue immediately post cardiac catheterization [2].…”

Section: Introductionmentioning

confidence: 99%

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Groin Dressing Post Cardiac Catheterization: Traditional Pressure Vs Transparent Film

Shialahp¹

2018

JNH

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Background: Post cardiac catheterization puncture site care is usually done with a tight pressure dressing in many institutions due to the belief that it should prevent the bleeding. This practice is uncomfortable to the patients. Nurses have also described difficulty in assessing the sheath insertion site in the groin when pressure dressing is in place. A new way of dressing using transparent film dressing (TFD) has approved and rated better with regard to: comfort, less pain, decrease hematoma formation and facilitates nurses' assessment of the puncture wound site after femoral sheath removal. Aim:To determine the efficacy of a small transparent non pressure dressing compared with the traditional controlled pressure dressing applied to the femoral artery puncture wound to maintain hemostasis with respect to 3 outcomes: patient satisfaction, bleeding or hematoma formation, and nurse-reported ease of assessment of the groin site after the procedure. Materials and MethodsDesign: An experimental design, randomized study.Patients: 80 post cardiac catheterization patients were randomized to have their groins dressed either with pressure dressing (N = 40) or Transparent Film Dressing (N = 40). Patients ambulated 8 hours after the procedures. Outcome variables were hematoma formation or bleeding, patient discomfort, and nurse-reported ease of observation of the groin puncture site after the procedure. Five instruments were used for data collection: Demographic and medical data sheet, Hematoma Formation and Bleeding Scale, Skin Integrity Scale, Patient Discomfort and Pain Scale and Nurses Ease of Assessment Scale.Results: Results of the study showed that 100% in TFD group vs. 55% in pressure dressing group reported feeling very comfortable (p value of 0.003). Hematoma formation was equal in the two dressing groups with no incidence of bleeding complications. Nurses rated the ease of assessing the groin significantly higher for TFD than for pressure dressings (p value of 0.000). Conclusion:Dressing of the puncture site after cardiac catheterization with TFD was more comfortable than the conventional pressure dressing without any difference in hematoma or bleeding complications. So TFD can be used safely and comfortably after achieving hemostasis.

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“…The use of pressure dressings after sheath removal was common; however, a recent study showed a decreased risk of complications when a transparent dressing is used [49]. If manual compression is the closure method, a pressure dressing is reasonable; if a collagen plug or the clip closure method is used, a transparent dressing will result in fewer complications.…”

Section: Periprocedural Care Of the Patientmentioning

confidence: 99%

Recommendations for Endovascular Care of Stroke Patients

et al. 2017

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The field of neurointerventional radiology (NIR) therapy, including acute ischemic stroke intervention, endovascular intracranial aneurysm management, and treatment of intra- and extracranial large-vessel disease, has evolved over the past 18 years. To support this specialized advanced care requires nursing standards of care for staff to provide direct patient care in NIR suites and intensive management of this high-risk patient population. The intent of this paper is to provide a complementary document for the Stroke Interventional Laboratory Consensus (SILC) statement that will specifically address the nursing standards of care for patients in an NIR suite.

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Transparent Film Dressing vs Pressure Dressing After Percutaneous Transluminal Coronary Angiography

Cited by 8 publications

References 0 publications

Pilot study: Assessing the effect of continual position monitoring technology on compliance with patient turning protocols

Pilot study: Assessing the effect of continual position monitoring technology on compliance with patient turning protocols

Groin Dressing Post Cardiac Catheterization: Traditional Pressure Vs Transparent Film

Recommendations for Endovascular Care of Stroke Patients

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