Protocol for the use of the transradial TR Band™ device after cardiac catheterization
Section: Artículos Científicos
Authors
Helena Ruiz Pérez
Position
Diplomada en Enfermería. Enfermera del Servicio de Urgencias del Hospital San Pedro de Logroño, La Rioja.
Contact address
Helena Ruiz Pérez. C / Pintor Maeztu, 8, 3 G. 31008 Pamplona (Navarra)
Contact email: helenagui4@hotmail.com
Abstract
Introduction. Obtaining haemostasis with the transradial TR Band™ device after cardiac catheterization is usual practice for nursing professionals at the Complejo Hospitalario de Navarra (CHN). Currently, in the CHN there is a protocol for the use and removal of this pneumatic bracelet based on the recommendations of the commercial company (Terumo™); however, there is a lot of variation in protocols used for management of this hemostatic device.
Method and results. After a systematic review of the literature, no standardized protocol was found to obtain haemostasis with the TR™ band device after transradial cardiac catheterization. The protocol used at the CHN has, at least, two limitations: one is the long period of time of compression with the pneumatic bracelet (from 4 to 6 hours), and the other is an excess of compression (from 13 to 18 ml of air), which could be associated with an increase of the incidence of radial artery occlusion (RAO).
Conclusions. The absence of a standardized protocol to achieve haemostasis with the TR™ band device requires investigation in order to gather sufficient evidence-based data to reduce the variability of nursing care. Additionally, we believe that the protocol used presently at the CHN needs to be updated.
Keywords:
cardiac catheterization; percutaneous coronary intervention; hemostasis; hemostatic techniquesradial artery
Versión en Español
Título:
Protocolo de colocación y retirada de la pulsera TR Band™ postcateterismo cardiaco
Artículo completo no disponible en este idioma / Full article is not available in this language
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