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Post-op Heart Catheter - a shorter time to hemostasis than...

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Learning issue: Post-operative catheterization MH Judkins Technique: After coronary arteriography and left-heart catheterization have been completed The catheters are removed and firm pressure is applied by hand to the femoral area for 10 minutes. The patient should be instructed to lie in bed for several hours, with the leg remaining straight to prevent hematoma formation. With 4 to 6F catheters, 2 hours of bed rest is usually sufficient, whereas use of a catheter larger than 6F usually requires at least 3 to 4 hours of bed rest. Alternatively, vascular closure devices may be used Four types are currently available—collagen plugs, suture closure, metallic clips, and hemostatic patches. Each allows early ambulation of the patient, within 1 to 2 hours after the procedure, and
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Unformatted text preview: a shorter time to hemostasis than manual compression. • They also permit early sheath removal in patients receiving anticoagulation. However, a meta-analysis has raised concern regarding the increased risk of pseudoaneurysm and hematoma with arterial puncture closure devices.The ultimate success of any means of achieving hemostasis relies on a single front wall puncture of the common femoral artery. http://www.mdconsult.com/books/page.do?eid=4-u1.0-B978-1-4160-4106-1. .50022-4--cesec2&isbn=978-1-4160-4106-1&sid=1084270733&type=bookPage&sectionEid=4-u1.0-B978-1-4160-4106-1. .50022-4--cesec19&uniqId=226883953-5#4-u1.0-B978-1-4160-4106-1. .50022-4--cesec19...
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