Arterial Introducer Removal
RADIAL ACCESS PROTOCOL
- To carry out the withdrawal of the implanted arterial seath, with the minimum possible complications and maximum safety for the patient.
- To monitor the appearance of possible complications derived from artery puncture and/or occlusive dressing.
TR BANDTM APPLICATION PROTOCOL
- To place the patient in supine decubitus, with the limb supinated.
- Cleaning of the area with antiseptic and sterile gauze.
- Use of sterile gloves to proceed with the removal of the stitch with a scalpel blade.
The bracelet will be placed before the removal of the introducer by matching the mark with the introducer input hole, and it will be inflated with 15 cm3 of air at the same time that the introducer is removed.
After the removal of the arterial introducer, the bleeding, colour, temperature and pulses of the limb where it was placed must be monitored
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 |
120 |
60 |
60 |
5 |
TIME BEFORE FIRST DEFLATION |
120 |
TIME BETWEEN OTHER DEFLATION(S) |
60 |
TIME BETWEEN DEFLATION IF REBLEEDING |
60 |
AVERAGE VOLUME AT EACH DEFLATION |
5 |
DISCHARGE PROTOCOL
- Don't lift weight with that arm.
- If there is bleeding, compression must be done and if it continues, transfer to the emergency services, informing about the catheterisation and its corresponding report.
- Explanation about the need of dressing of radial site.
- Continuity of the treatment.
TIPS & TRICKS TO IMPROVE RADIAL ACCESS & DAILY WORKLOAD
After the removal of the arterial introducer, the bleeding, colour, temperature and pulses of the limb where it was placed must be monitored.
DROP TEST: Inflate to 15 cm3 and withdraw 1 cm3 by 1 cm3 until it bleeds, at that moment 2 cm3 to greater than the value in which the bleeding began will be inflated.
|
3.40 |
||
Average time to hemostasis - Diagnostic Procedure |
264.17 mins |
||
Average RAO following completion of hemostasis |
0.00% |
