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The current practice and care of paediatric patients post cardiac catheterisation

Published online by Cambridge University Press:  26 November 2018

Loren Brown ,
Karen Hinsley ,
Michelle Hurtig ,
Courtney L Porter  and
Jean A Connor
Loren Brown*
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Karen Hinsley
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Michelle Hurtig
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Courtney L Porter
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA
Jean A Connor
Affiliation:
Cardiovascular & Critical Care Services, Nursing Patient Services, Boston Children’s Hospital, Boston, MA, USA Department of Pediatrics, Harvard Medical School, Boston, MA, USA
*
Author for correspondence: L. Brown BSN, RN, CCRN, Boston Children’s Hospital, 300 Longwood Avenue, MA 02115, USA. Tel: 857-218-3658; E-mail: Loren.Brown@cardio.chboston.org
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Abstract

Background

Literature is lacking to guide standardised care and assessment practices for paediatric patients post cardiac catheterisation. In response to this gap, we sought to describe the current state of practice in cardiology programmes performing paediatric cardiac catheterisations procedures in the United States of America.

Materials and methods

A web-based survey was distributed to the Congenital Cardiovascular Interventional Study Consortium Listserv, with representation from 113 identified institutions. A 36-question survey, including fixed-choice and open-ended questions, was developed and piloted for reliability and validity before distribution. Data were summarised descriptively with count and frequency or median and range.

Results

Of the 113 identified institutions, 52% (n=59) responded to the survey. Manual pressure is used to achieve haemostasis by 94.9% of the respondents. Pressure dressings are used by a majority of the facilities and the length of time for bed rest is variable, with the majority using 6 hours for arterial access and 4 hours for venous access. Predominantly, respondents use the time of haemostasis as the start time of bed rest while a third of respondents reported using the time the sheath was removed.

Conclusion

In this study, variation in a number of post catheterisation care and assessment practices for paediatric patients was noted across cardiology programmes. Information from this assessment identifies key opportunities to collaborate in developing standardised practices for the care and assessment of the paediatric patients post catheterisation.

Keywords

CHDpaediatric cardiac catheterisationstandardised carestate of practice assessment
Type
Original Article
Information
Cardiology in the Young , Volume 29 , Issue 2 , February 2019 , pp. 146 - 151
Copyright
© Cambridge University Press 2018 

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Footnotes

Cite this article: Brown L, Hinsley K, Hurtig M, Porter CL, Connor JA. (2018) The current practice and care of paediatric patients post cardiac catheterisation. Cardiology in the Young page 146 of 151. doi: 10.1017/S104795111800197X

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