Safety and feasibility of the paediatric post-cardiac catheterisation Wrap: a pilot study
| Autor: | Jennifer Haley, Shannon L. Engstrand, Alexandra Cole, Sara Schenkel, Karen Hinsley, Brenda Brawn, Jesse Esch, Juan Ibla, Michele DeGrazia |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Cardiology in the Young. 33:11-20 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951122000178 |
| Popis: | Objective:The paediatric post-cardiac catheterisation Wrap (Wrap), an innovative medical safety device, swaddles young paediatric patients in a supine position aiding in immobilisation post-cardiac catheterisation. This pilot study investigated the feasibility and safety of using the Wrap on young paediatric patients during their bed rest period following cardiac catheterisation with femoral access.Setting:Boston Children’s Hospital Cardiac Catheterization Lab.Participants:20 patients, ages 1–5 years and weighing 3–25 kg.Methods:Investigator-developed tools used to collect data included the Demographic and Outcome Measures Data Tool, the Parent/Caregiver Satisfaction, and Provider Ease of Use tools. They measured:1.The feasibility of using the Wrap2.Wrap ease of use from the nurse providers’ perspective3.Parent satisfaction related to the Wrap4.Frequency of Wrap non-bleeding-related adverse events5.Frequency of rebleeding at femoral groin access sitesResults:The Wrap was feasible and safe; increased nurse provider satisfaction by allowing visualisation of the groin access sites while minimising the need for hands-on care; and increased parent satisfaction by allowing parents to hold and provide comfort while their child was on bed rest.Implications for Research:The Wrap is a safe alternative to the current practice of swaddling with a bath blanket. Further studies are warranted to assess the Wrap’s effectiveness in reducing the incidence of rebleeding events in the post-cardiac catheterisation period and explore clinical use outside of the Cardiac Catheterization Lab. |
| Databáze: | OpenAIRE |
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