Background: Complications post percutaneous coronary interventions (PCI) are more threatening than it was previously thought so that necessary measures should be taken to minimize those risks. Objective: To identify t...Background: Complications post percutaneous coronary interventions (PCI) are more threatening than it was previously thought so that necessary measures should be taken to minimize those risks. Objective: To identify the risk factors related to patient and procedure which could be used as predictors of complications after sheath removal post PCI. Methods: The study used a prospective non-experimental correlational descriptive. Design: The sample was chosen conveniently from three different hospitals and included 118 patients who were subjected to PCI. Results: Three models were used to predict complications. In the first model, none of the baseline variables were predictive of complications. In the second model, the only type of procedure (diagnostic, stent or balloon) was predictive of complications. In the third model, compression time was found to be a risk factor and a predictor of complications after sheath removal. Conclusion: Nurses and medical professionals are in a vital position to prevent, detect and manage PCI complications at the earliest possible opportunity. It is a must to assess and categorize patients in accordance with their risk level to develop post PCI and post sheath removal complications, in order to plan management strategies to decrease the health costs and the suffering.展开更多
Objective:To compare the effects of blunt separation combined with early sheath removal and conventional catheterization on the incidence of bleeding,exudation and subcutaneous congestion after peripherally inserted c...Objective:To compare the effects of blunt separation combined with early sheath removal and conventional catheterization on the incidence of bleeding,exudation and subcutaneous congestion after peripherally inserted central catheter(PICC).Methods:250 patients with PICC catheterization in our hospital were selected,including 125 in the control group and 125 in the observation group.The conventional catheterization method was used in the control group:The sheath was removed by scalpel skin expansion and complete tube delivery in place.The observation group used blunt separation combined with early sheath removal.The success rate of one-time sheath delivery,immediate bleeding,24-hour bleeding and exudation were compared.Results:The success rate of sheath delivery in the observation group was 100%;The amount of immediate blood loss and blood loss 24h after catheterization in observation group was obviously lower than that in the control group,with statistical significance(P<0.05).There were 6 cases of exudation in the control group and no exudation in the observation group.There was significant difference in the incidence between the two groups(P<0.05);There were 10 cases of subcutaneous congestion in the control group and 2 cases of subcutaneous congestion in the observation group.There was significant difference in the incidence between the two groups(P<0.05);Conclusion:Blunt separation combined with early sheath removal can reduce the occurrence of local blood and fluid leakage after PICC catheterization.展开更多
文摘Background: Complications post percutaneous coronary interventions (PCI) are more threatening than it was previously thought so that necessary measures should be taken to minimize those risks. Objective: To identify the risk factors related to patient and procedure which could be used as predictors of complications after sheath removal post PCI. Methods: The study used a prospective non-experimental correlational descriptive. Design: The sample was chosen conveniently from three different hospitals and included 118 patients who were subjected to PCI. Results: Three models were used to predict complications. In the first model, none of the baseline variables were predictive of complications. In the second model, the only type of procedure (diagnostic, stent or balloon) was predictive of complications. In the third model, compression time was found to be a risk factor and a predictor of complications after sheath removal. Conclusion: Nurses and medical professionals are in a vital position to prevent, detect and manage PCI complications at the earliest possible opportunity. It is a must to assess and categorize patients in accordance with their risk level to develop post PCI and post sheath removal complications, in order to plan management strategies to decrease the health costs and the suffering.
文摘Objective:To compare the effects of blunt separation combined with early sheath removal and conventional catheterization on the incidence of bleeding,exudation and subcutaneous congestion after peripherally inserted central catheter(PICC).Methods:250 patients with PICC catheterization in our hospital were selected,including 125 in the control group and 125 in the observation group.The conventional catheterization method was used in the control group:The sheath was removed by scalpel skin expansion and complete tube delivery in place.The observation group used blunt separation combined with early sheath removal.The success rate of one-time sheath delivery,immediate bleeding,24-hour bleeding and exudation were compared.Results:The success rate of sheath delivery in the observation group was 100%;The amount of immediate blood loss and blood loss 24h after catheterization in observation group was obviously lower than that in the control group,with statistical significance(P<0.05).There were 6 cases of exudation in the control group and no exudation in the observation group.There was significant difference in the incidence between the two groups(P<0.05);There were 10 cases of subcutaneous congestion in the control group and 2 cases of subcutaneous congestion in the observation group.There was significant difference in the incidence between the two groups(P<0.05);Conclusion:Blunt separation combined with early sheath removal can reduce the occurrence of local blood and fluid leakage after PICC catheterization.
