Comparison of Complications Post Femoral Sheath Removal between Intra-Arterial Devices and Traditional Compression Methods for Patients Following Peripheral Vascular Intervention
Kara Heck, BSN, RN-BC, CCRN1 and Barbara Vincensi, PhD, RN, FNP2 (1Holland Hospital and 2Hope College Department of Nursing)
Complications following femoral sheath removal, including hematoma, bleeding at the site, and retroperitoneal aneurysm, have been linked to increased consumption of healthcare resources, delays in hospital discharge, and patient dissatisfaction. Currently there is no compelling evidence or widely accepted practice guidelines that favor one method of sheath removal over another. The purpose of this study is to compare the frequency of complications between intra-arterial closure devices and hemostatic pads with traditional manual compression after femoral sheath removal. This project was based on the American Association of Critical Care Nurses Synergy Model, which emphasizes optimizing patient outcomes through the synergy of patient needs and nurse competencies. A retrospective chart review was done on 50 patients undergoing peripheral vascular intervention with femoral arteriotomy in a small community hospital in Southwest Michigan. Data collected included patient demographics, procedure details, complications, and length of stay. The data was analyzed with SPSS using a chi-squared analysis of frequencies. Based on the Pearson’s Chi-squared Test, with 95% confidence, there was no significant association between closure method and frequency of complications. The implications of this study may be limited by a relatively small sample size, the limited diversity of the sample, and the inclusion of only one hospital. Further research on this subject could aid in the development of a universal nursing practice guideline that would decrease the frequency of complications for patients post femoral sheath removal.
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