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The current practice and care of paediatric patients post cardiac catheterisation

Published online by Cambridge University Press:  26 November 2018

Loren Brown ,
Karen Hinsley ,
Michelle Hurtig ,
Courtney L Porter  and
Jean A Connor
Loren Brown*
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Karen Hinsley
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Michelle Hurtig
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Courtney L Porter
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Jean A Connor
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA Department of Pediatrics, Harvard Medical School, Boston, MA, USA
*
Author for correspondence: L. Brown BSN, RN, CCRN, Boston Children’s Hospital, 300 Longwood Avenue, MA 02115, USA. Tel: 857-218-3658; E-mail: Loren.Brown@cardio.chboston.org
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Abstract

Background

Literature is lacking to guide standardised care and assessment practices for paediatric patients post cardiac catheterisation. In response to this gap, we sought to describe the current state of practice in cardiology programmes performing paediatric cardiac catheterisations procedures in the United States of America.

Materials and methods

A web-based survey was distributed to the Congenital Cardiovascular Interventional Study Consortium Listserv, with representation from 113 identified institutions. A 36-question survey, including fixed-choice and open-ended questions, was developed and piloted for reliability and validity before distribution. Data were summarised descriptively with count and frequency or median and range.

Results

Of the 113 identified institutions, 52% (n=59) responded to the survey. Manual pressure is used to achieve haemostasis by 94.9% of the respondents. Pressure dressings are used by a majority of the facilities and the length of time for bed rest is variable, with the majority using 6 hours for arterial access and 4 hours for venous access. Predominantly, respondents use the time of haemostasis as the start time of bed rest while a third of respondents reported using the time the sheath was removed.

Conclusion

In this study, variation in a number of post catheterisation care and assessment practices for paediatric patients was noted across cardiology programmes. Information from this assessment identifies key opportunities to collaborate in developing standardised practices for the care and assessment of the paediatric patients post catheterisation.

Keywords

CHDpaediatric cardiac catheterisationstandardised carestate of practice assessment
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 146 - 151
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Brown L, Hinsley K, Hurtig M, Porter CL, Connor JA. (2018) The current practice and care of paediatric patients post cardiac catheterisation. Cardiology in the Young page 146 of 151. doi: 10.1017/S104795111800197X

References

1. Hoerl, G, Tafeit, E, Leschnick, B, et al. Cardiac catheterization: haemostatic changes in pediatric versus adult patients. J Throm Thrombolysis 2011; 32: 372–377.Google Scholar
2. Odegard, KC, Bergersen, L, Thiagarajan, R, et al. The frequency of cardiac arrests in patients with congenital heart disease undergoing cardiac catheterization. Anesth Analg 2014; 118: 175–182.Google Scholar
3. Chair, S, Thompson, D, Li, S. Effect of ambulation after cardiac catheterization on patient outcomes. J Clin Nurs 2007; 16: 212–214.Google Scholar
4. Chair, S, Fernandez, R, Lui, M, Lopez, V, Thompson, D. The clinical effectiveness of length of bed rest for patients recovering from trans-femoral diagnostic cardiac catheterization. Int J Evid Based Healthc 2008; 6: 352–390.Google Scholar
5. Chair, S, Mingming, Y, Choi, K, Wong, E, Sit, J, Ip, W. The effect of early ambulation after trans femoral cardiac catheterization in Hong Kong: a single blinded randomized control trial. Anatol J Cardiol 2012; 12: 222–230.Google Scholar
6. Best, D, Pike, R, Grainger, P, Eastwood, C, Carroll, K. A prospective study of early ambulation 90 minutes post left-heart catheterization using a retrospective comparison group. Can J Cardiovasc Nurs 2010; 20: 15–20.Google Scholar
7. Doyle, BJ, Konz, BA, Lennon, RJ, Bresnahan, JF, Rihal, CS, Ting, HH. Ambulation 1 hour after diagnostic catheterization: a prospective study of 1009 procedures. Mayo Clin Proc 2006; 81: 1537–1540.Google Scholar
8. Chhatriwalla, AK, Bhatt, DL. Walk this way: early ambulation after cardiac catheterization – good for the patient and good for the health care system. Mayo Clin Proc 2006; 81: 1535–1536.10.4065/81.12.1535Google Scholar
9. Association of periOperative Nurses. Perioperative standards and recommended practices: For inpatient and ambulatory settings. Association of periOperative Nurses, Denver, 2012.Google Scholar
10. Bashore, TM, Balter, S, Barac, A, et al. American College of Cardiology Foundation/Society for Cardiovascular Angiography and Interventions expert consensus document on cardiac catheterization laboratory standards update: a report of the American College of Cardiology Foundation Task Force on Expert Consensus documents developed in collaboration with the Society of Thoracic Surgeons and Society for Vascular Medicine. J Am Coll Cardiol 2012; 59: 2221–2305.Google Scholar
11. Congenital Cardiovascular Interventional Study Consortium (CCISC). https://ccisc.med.wayne.edu/. Accessed July 13, 2013.Google Scholar
12. Mohammady, M, Heidari, K, Akbari Sari, A, Zolfaghari, M, Janani, L. Early ambulation after diagnostic transfemoral catheterisation: a systematic review and meta-analysis. Int J Nurs Stud 2014; 51: 39–50.Google Scholar