Management of radial hemostasis after cardiac catheterization. Literature review
Section: Artículos Científicos
Authors
Miriam Rubio Martín1, Pablo Benítez Martín2, Vicente Rubio Alcañiz3.
Position
1 Grado en Enfermería. Experta en Enfermería de Cuidados Intensivos. Enfermera en Unidad de Cuidados Intensivos. Hospital Universitario de Gran Canaria Dr. Negrín. Las Palmas de Gran Canaria. 2 Grado en Enfermería. Enfermero Unidad de Hemodinámica. H. U. de Gran Canaria Dr. Negrín. Las Palmas de Gran Canaria.3 Grado en Enfermería. Experto en Enfermería en Hemodinámica y Cardiología Intervencionista. Supervisor Unidad de Hemodinámica. Hospital Universitario de Gran Canaria Dr. Negrín. Las Palmas de Gran Canaria.
Contact address
Vicente Rubio Alcañiz. Hospital Universitario de Gran Canaria. Dr. Negrín Barranco de La Ballena s/n. 35010 Las Palmas de Gran Canaria
Contact email: v.rubio@celp.es
Abstract
Introduction. Cardiac catheterization through the radial access is a feasible and safe technique. There are a variety of devices and protocols to achieve hemostasis. The ideal device should be easy to place, comfortable for the patient and with a low incidence of complications. Objective: To analyze and recommend the ideal device, as well as an application protocol for performing radial hemostasis after cardiac catheterization based on scientific evidence.
Methodology. A bibliographic search was carried out through databases and specialized journals by combining health sciences descriptors and Boolean operators. All articles prior to 2009 were excluded.
Results: Out of the 196 initial articles, 24 were selected. Randomized clinical trials and observational and descriptive studies were found. The pneumatic band turned out to be the most used and best tolerated device by the patient. There is a consensus on applying permeable hemostasis, gradual decompressions and hemostasis times of between 1 and 4 hours.
Discussion. The choice of a device and a protocol for radial hemostasis should consider aspects related to its implementation, management, complications and patient‘s tolerance. There is little evidence on comfort and workloads for nursing, according to the device used. Conclusions: The pneumatic band is recommended as a compression device; the hemostasis performed must be permeable; it is advisable to perform the inverted Barbeau test, as it allows to assess arterial permeability after hemostasis and to early detect radial occlusion.
Keywords:
cardiac catheterization; radial artery; hemostasis; vascular closure devicesnursing care
Versión en Español
Título:
Manejo de la hemostasia radial tras cateterismo cardiaco. Revisión bibliográfica
Artículo completo no disponible en este idioma / Full article is not available in this language
Bibliography
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