IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v28y2019i17-18p3140-3148.html
   My bibliography  Save this article

Decreasing length of limb immobilisation following nonelective transfemoral percutaneous coronary intervention: A randomised clinical trial

Author

Listed:
  • Vinicius Batista Santos
  • Luize Máximo e Melo
  • Ana Raquel Viegas de Assis
  • Juliana Brito de Moraes
  • Camila Takao Lopes
  • Juliana de Lima Lopes
  • Alba Lucia Bottura Leite de Barros

Abstract

Aims and objectives To assess the intensity and frequency of pain, use of analgesic drugs, and the incidence of paraesthesia, urinary retention and vascular complications upon decreasing affected limb immobilisation from 4–2 hrs after sheath removal in patients submitted to transfemoral percutaneous coronary intervention (PCI). Background After sheath removal from the femoral artery following urgent or emergency PCI, patients are maintained with limb immobilisation for a mean period of 4 hr. Design Randomised clinical trial (RCT) based on the CONSORT guidelines. Method Randomised clinical trial was performed in patients with Acute Coronary Syndrome submitted to transfemoral PCI. The intervention group was submitted to a supine position with the head of the bed elevated (30‐degree angle) with affected limb immobilisation for 2 hr after sheath removal and the control group for 4 hrs. The outcomes were pain complaints, need for analgesic drugs, incidence of paraesthesia, urinary retention and vascular complications. The outcomes were assessed immediately, 6, 12 and 24 hr after release from limb immobilisation before the patients were released from bed rest. Results A total of 150 patients (75 in each group) participated in the study. No significant differences in outcomes were observed between the groups, except in relation to the haematoma formation that was higher in the intervention group. Conclusion A reduced length of limb immobilisation after sheath removal following PCI does not change the frequency and intensity of pain, need of analgesic drugs, urinary retention and paraesthesia. The incidence of haematoma was higher in the intervention group, without significant clinical manifestations. Relevance to clinical practice The results of this study can be considered for patients submitted to elective, urgent or emergency PCI, who have a lower risk of complications, thereby allowing for decreased periods of limb immobilisation.

Suggested Citation

  • Vinicius Batista Santos & Luize Máximo e Melo & Ana Raquel Viegas de Assis & Juliana Brito de Moraes & Camila Takao Lopes & Juliana de Lima Lopes & Alba Lucia Bottura Leite de Barros, 2019. "Decreasing length of limb immobilisation following nonelective transfemoral percutaneous coronary intervention: A randomised clinical trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(17-18), pages 3140-3148, September.
    • Handle: RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3140-3148
    DOI: 10.1111/jocn.14860
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.14860
    Download Restriction: no
    File URL: https://libkey.io/10.1111/jocn.14860?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Mina Mohammady & Fatemeh Atoof & Ali Akbari Sari & Mitra Zolfaghari, 2014. "Bed rest duration after sheath removal following percutaneous coronary interventions: a systematic review and meta‐analysis," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(11-12), pages 1476-1485, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Selda Mert Boğa & Seher Deniz Öztekin, 2019. "The effect of position change on vital signs, back pain and vascular complications following percutaneous coronary intervention," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1135-1147, April.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:28:y:2019:i:17-18:p:3140-3148. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.