IKEM Prague
RADIAL ACCESS PROTOCOL
Prior to procedure Allen test is performed. Radial artery is then palpated by the operator before gaining access using a 5F sheath for diagnostic procedures or 6F for interventions. Ultrasonography is seldom used in more challenging cases or in patients with non-pulsatile flow (on LVAD, ECMO).
TR BANDTM APPLICATION PROTOCOL
At the end of the procedure sheath is withdrawn by 2-3cm. TR band is positioned with the green dot above the puncture site and inflated with 15ml of air, sheath is then fully removed. When bleeding occurs, additional 3ml of air are inserted up to a maximal volume of 18ml.
TR BANDTM (TERUMO) IS USED AS STANDARD DEVICE |
INITIAL VOLUME OF INFLATION |
PATENT HEMOSTASIS CHECK AT APPLICATION? |
|
15 |
|
TR BANDTM (TERUMO) IS USED AS STANDARD DEVICE |
|
INITIAL VOLUME OF INFLATION |
15 |
PATENT HEMOSTASIS CHECK AT APPLICATION? |
|
TR BANDTM DEFLATION & REMOVAL PROTOCOL
TIME BEFORE FIRST DEFLATION |
TIME BETWEEN OTHER DEFLATION(S) |
TIME BETWEEN DEFLATION IF REBLEEDING |
AVERAGE VOLUME AT EACH DEFLATION |
60 - 90 |
30 |
40 |
3 |
TIME BEFORE FIRST DEFLATION |
60 - 90 |
TIME BETWEEN OTHER DEFLATION(S) |
30 |
TIME BETWEEN DEFLATION IF REBLEEDING |
40 |
AVERAGE VOLUME AT EACH DEFLATION |
3 |
DISCHARGE PROTOCOL
Patient is usually discharged the same day or the day after the procedure, reverse Barbeau test if performed before discharge to confirm arterial patency.
TIPS & TRICKS TO IMPROVE RADIAL ACCESS & DAILY WORKLOAD
Sufficient radial access should be checked for beforehand particularly in patients selected for day-care procedures to limit unplanned hospital admissions.
|
5.14 |
||
Average time to hemostasis - Interventional Procedure |
182.6 mins |
||
Average RAO following completion of hemostasis |
0.00% |
