4-hour Radial Hemostasis
RADIAL ACCESS PROTOCOL
The radial access is disinfected with a 10% iodine solution of Povidone-iodine. Subsequently, local anesthesia is performed by subcutaneous injection of 5 cc of mepivacaine hydrochloride (20 mg/ml). After a few minutes, the artery is punctured using the seldinger technique, and an arterial Terumo sheath is positioned
TR BANDTM APPLICATION PROTOCOL
Before positioning the TR band, 5 cc of air is inflated into the cuff. After the TR band is positioned, an additional 10 cc of air is inflated depending on the size of the wrist and the patient's blood pressure
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 |
30 |
90 mins 2nd deflation | 1 hour 3rd deflation | 1 hour last deflation & TR Band Removal |
90 mins 2nd deflation | 1 hour 3rd deflation | 1 hour last deflation & TR Band Removal |
4 |
TIME BEFORE FIRST DEFLATION |
30 |
TIME BETWEEN OTHER DEFLATION(S) |
90 mins 2nd deflation | 1 hour 3rd deflation | 1 hour last deflation & TR Band Removal |
TIME BETWEEN DEFLATION IF REBLEEDING |
90 mins 2nd deflation | 1 hour 3rd deflation | 1 hour last deflation & TR Band Removal |
AVERAGE VOLUME AT EACH DEFLATION |
4 |
DISCHARGE PROTOCOL
After the last deflation, if there are no signs of bleeding the TR band is removed and a gauze pad dressing is applied, to be left for 12 hours The morning after the procedure, perform the reverse Barbeau test to verify the patency of the punctured radial artery
TIPS & TRICKS TO IMPROVE RADIAL ACCESS & DAILY WORKLOAD
To avoid prolonging the use of the TR Band and to maintaining the protocol hemostasis time, in case of bleeding, the necessary amount of air is reinflated to stop the bleeding. In the next step, the scheduled cc are removed along with the additional cc used to stop the bleeding.
|
4.09 |
||
Average time to hemostasis - Interventional Procedure |
244.36 mins |
||
Average RAO following completion of hemostasis |
7.27% |
