Sheath removal powerpoint download

Sheath removal time compression adequate compression just proximal to the site of skinpuncture for at least 30 min is ideal. Impact of two different hemostatic devices on radial artery outcomes after transradial catheterization. Clinical presentation usually within 12 hours of the procedure ranges from. I have found people often have different views on how to pull sheaths, varying from using fingers to using their fist or a femostop device st. This lesson will discuss the monitoring and managing of patients with arterial and venous sheaths.

Developing best practice in arterial sheath removal for registered nurses article in journal of nursing care quality 161. Following percutaneous coronary intervention pci via the femoral artery, lengthy sheath dwell times may compromise patient safety. If anticoagulation is given, then follow the hospital policy on sheath removal to determine when the sheath can be removed. Arterial and venous sheath removal only to be performed by personnel with a demonstrated competency if both arterial and venous sheaths are present. A sheath is used during certain cardiac procedures. Ppt best practice standardization of sheath removal. Removing the sheath may improve patient comfort and shorten the amount of bed rest required, which can lead. Device to protrude beyond the distal tip of the delivery catheter when inserting the delivery system into the access sheath. Easy technique for retroantegrade superficial femoral. Advantages of percutaneous femoral approach dominant technique does not require arteriotomy and arterial repair permits repeated site use for future angiograms suture closure of skin not necessary. Femoral arterial sheath removal aligning practice with evidence. Performance evaluation of arterial femoral sheath removal. If so, share your ppt presentation slides online with.

The antegrade femoral approach is a routinely used technique for the percutaneous treatment of the lower extremities vascular disease. Pacemaker and defibrillator lead extraction circulation. Best practice standardization of sheath removal is the property of its rightful owner. However, this approach can be challenging in case of obese patients or due to special anatomy of the femoral bifurcation.

Femoral access site complications fsh care suites inservice 2. However, if youre reinstalling office, and youve already redeemed a product key and have an account associated with office, then go to the section sign in and install office on your pc or mac. As sheath removal is not without risk, it is important to assure the quality of. Cardiology sheath removal personnel will only remove femoral sheaths related to.

Techniques for removal of an entrapped radial sheathcatheter. A free powerpoint ppt presentation displayed as a flash slide show on id. Download and install or reinstall office 2016 or office. If this is the first time youre installing office you may have some setup steps to do first. Developing best practice in arterial sheath removal for. Vascular access in cardiac catheterization slideshare. Ppt nurse driven foley catheter protocol powerpoint. The development of the ureteral access sheath uas has enabled substantially greater use of ureteroscopy for minimally invasive management of diseases of the upper urinary tract. Following these procedures, arterial sheaths, venous sheaths, or both may be left in place. Heparin must be off a minimum of four hours before sheath removal, or an act value sheath may be safely removed sooner. This is a recreation of a presentation that i created in the early 2000s for a. Due to antithrombotic therapy before, during, and after pci, the arterial femoral sheath is generally not removed early after pci. Use of ureteral access sheaths in ureteroscopy nature. Sheath removal after pci by registered nurses can improve patients comfort and shorten immobilisation time.