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1.
Rev. Rol enferm ; 40(1): 43-46, ene. 2017. tab, graf, ilus
Artigo em Espanhol | IBECS | ID: ibc-159320

RESUMO

El cateterismo cardiaco es un procedimiento que consiste en la introducción de un catéter por un acceso arterial (femoral, radial, braquial, cubital) que se lleva hasta el corazón para su estudio anatómico y funcional, grandes vasos y arterias coronarias. En nuestro centro, en la actualidad, se utiliza el acceso arterial radial como primera elección. Cuando finalizamos el estudio se retira el catéter y hay que comprimir el punto de punción por el que hemos realizado la prueba. La hemostasia de la arteria radial tras el cateterismo la realizamos mediante vendaje compresivo con Tensoplast®. Nuestra experiencia previa en el uso de Nobecutan® aerosol en los vendajes compresivos femorales nos hizo extender su uso al nuevo acceso vascular radial. En nuestro estudio, queremos mostrar la eficacia del uso de Nobecutan®, para la protección cutánea de la zona de punción donde se coloca el vendaje compresivo radial. Los resultados muestran una reducción de la lesión dermatológica tras la retirada del vendaje, sobre todo en los pacientes bajo tratamiento antiagregante y en los que hayan presentado lesión dermatológica secundaria al rasurado en la zona de punción (AU)


Cardiac catheterization consists in the introduction of a catheter through a peripheral arterial access (radial, femoral, brachial or cubital approach) directed to the heart, in order to study its anatomy or function, the presence coronary artery disease, and perform coronary interventions if indicated. Radial artery is our first option approach for cardiac catheterization. Once the study is finished, the catheter is removed from the arterial access and the puncture site is compressed to obtain hemostasis with a Tensoplast® compressive bandage. Based in our previous experience with the use of Nobecutan® aerosol in femoral bandage, we decided to extend it to the radial access. Our goal is to explore the Nobecutan® impact in puncture site cutaneous protection, where radial bandage is placed. Results show a reduction in dermatological lesion rate after removing the bandage, especially in patients under antiplatelet therapy and in those with previous dermatological lesion secondary to skin shaving rounding puncture site (AU)


Assuntos
Humanos , Masculino , Feminino , Cateterismo Cardíaco/enfermagem , Bandagens/normas , Bandagens , Hemostasia Cirúrgica/enfermagem , Biópsia por Agulha/enfermagem , Biópsia por Agulha Fina/enfermagem , Resultado do Tratamento , Avaliação de Eficácia-Efetividade de Intervenções , Estudos Prospectivos , Estudos de Coortes
2.
Rev Enferm ; 40(1): 43-6, 2017 Jan.
Artigo em Espanhol | MEDLINE | ID: mdl-30260160

RESUMO

Cardiac catheterization consists in the introduction of a catheter through a peripheral arterial access (radial, femoral, brachial or cubital approach) directed to the heart, in order to study its anatomy or function, the presence coronary artery disease, and perform coronary interventions if indicated. Radial artery is our first option approach for cardiac catheterization. Once the study is finished, the catheter is removed from the arterial access and the puncture site is compressed to obtain hemostasis with a Tensoplast® compressive bandage. Based in our previous experience with the use of Nobecutan® aerosol in femoral bandage, we decided to extend it to the radial access. Our goal is to explore the Nobecutan® impact in puncture site cutaneous protection, where radial bandage is placed. Results show a reduction in dermatological lesion rate after removing the bandage especially in patients under antiplatelet therapy and in those with previous dermatological lesion secondary to skin shaving rounding puncture site.


Assuntos
Resinas Acrílicas , Cateterismo Cardíaco , Bandagens Compressivas , Artéria Radial , Tiram , Idoso , Cateterismo Cardíaco/métodos , Combinação de Medicamentos , Feminino , Humanos , Masculino , Estudos Prospectivos
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