Elevated Systolic Blood Pressure in Femoral Artery Sheath Removal
Kara Heck, BSN, RN-BC, CCRN (Holland Hospital); Barbara Vincensi, PhD, RN, FNP
Multiple methods of arterial closure after femoral arteriotomy are used to reach hemostasis. Research has not yet determined which method is most effective when considering different patient risk factors. The purpose of this study was to determine the impact systolic blood pressure (SBP) has on complication rates associated with different closure methods. The study was based on Neuman’s Systems Model that recognizes people have unique interacting characteristics that affect response to illness and treatment. A retrospective observational analysis of patient charts was conducted. Data was collected from a convenient sample of 21 patients at a small private hospital in West Michigan. Statistical analysis was done using SPSS 19.0. A chi-squared test of independence was completed using stage of hypertension, complication, and type of closure device. No significant relationship was found (p=.813). Results imply that complications are independent from elevated SBP and closure method. This implies that closure method does not need to be selected based on patient’s SBP in order to prevent complications. Limitations of the study include the single collection site, homogenous convenience sample, small sample size and incomplete data records that could make generalization inaccurate. Further research should include a larger sample size from multiple sites and needs to consider other risk factors affecting hemostasis. By determining the best methods for reaching hemostasis, an algorithm could be developed to assist heath care providers in determining the safest method considering patient comorbidities.
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