| Comparison of Different Methods for Achieving Hemostasis After Arterial Sheath Removal. | |
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MedLine Citation:
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PMID: 21912270 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND AND RESEARCH OBJECTIVE:: Randomized studies are limited on whether the use of procoagulant pads improve outcomes after arterial sheath removal in interventional cardiology patients. The purpose of this study was to determine if the use of a procoagulant pad in combination with manual compression would decrease time to hemostasis compared with our institution's manual compression alone procedure after arterial sheath removal associated with a percutaneous coronary intervention (PCI). PARTICIPANTS AND METHODS:: A convenience sample of PCI patients were randomly assigned to 3 methods for achieving hemostasis at the femoral artery site after sheath removal (manual compression alone, SyvekPatch NT plus manual compression, and D-Stat Dry® plus manual compression). Outcome variables included time to hemostasis, number of pressure applications, and development of complications. Analysis of variance and χ analysis were used to test differences among the 3 groups, with P < .05 considered significant. RESULTS AND CONCLUSIONS:: A total of 80 PCI patients were studied (n = 26 manual compression only; n = 26 SyvekPatch NT; n = 28 D-Stat Dry). Significant differences were found among the 3 methods for time to hemostasis (F2,77 = 4.12, P = .020), with the manual compression alone method significantly longer than either of the 2 procoagulant pad groups. Complications were rare and were not significantly different with the 3 methods. |
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Authors:
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Mary Kate Toma McConnell; Kristen McDilda; Renee Bridges; Nicole Marsh; Gwen Jenkins; Jean Dowdy; Maryclare Prasnikar |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-9-9 |
Journal Detail:
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Title: The Journal of cardiovascular nursing Volume: - ISSN: 1550-5049 ISO Abbreviation: - Publication Date: 2011 Sep |
Date Detail:
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Created Date: 2011-9-13 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703516 Medline TA: J Cardiovasc Nurs Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Mary Kate Toma McConnell, RN Staff Nurse, 3W Cardiac Telemetry Unit, Rex Healthcare, Raleigh, North Carolina. Kristen McDilda, RN, ADN Staff Nurse, 3W Cardiac Telemetry Unit, Rex Healthcare, Raleigh, North Carolina. Renee Bridges, RN, BSN, PCCN Staff Nurse, 3W Cardiac Telemetry Unit, Rex Healthcare, Raleigh, North Carolina. Nicole Marsh, RN, MSN Staff Nurse, 3W Cardiac Telemetry Unit, Rex Healthcare, Raleigh, North Carolina. Gwen Jenkins, RN Staff Nurse, 3W Cardiac Telemetry Unit, Rex Healthcare, Raleigh, North Carolina. Jean Dowdy, RN Staff Nurse, 3W Cardiac Telemetry Unit, Rex Healthcare, Raleigh, North Carolina. MaryClare Prasnikar, RN, MSN, CCRN Clinical Nurse Specialist-CV, Rex Healthcare, Raleigh, North Carolina. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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