Coronary Artery Disease With Myocardial Infarction
Conditions
Keywords
cardiac catheterization, safety, nursing care, rest, Patients
Brief summary
Reducing the rest time after diagnostic cardiac catheterization for three hours does not increase the complications concerning to the procedure, compared to the rest of five hours.
Detailed description
Reducing the rest time after diagnostic cardiac catheterization for three hours does not increase the complications concerning to the procedure, compared to the rest of five hours. The aim of this study is to compare through a randomized clinical trial to reduce the rest time in bed for five hours after elective diagnostic cardiac catheterization, with a 6F sheath with a transfemoral approach, for a period of three hours of the occurrence of bleeding, hematoma, pseudoaneurysm and a vasovagal reaction.
Interventions
Intervention group (IG), will maintain bed rest supine for two hours after the digital compression. After this period prescribed, patients sit in bed with the head elevated at 45 degrees for 50 minutes and then walk within the unit hemodynamic for about 10 minutes. Afterwards patients remain sitting out of bed in hemodynamics unit, until they are five hours, then they will be discharge.
Control group (CG) maintain bed rest supine for four hours after the digital compression. After this period, the patients sit in bed with the head elevated at 45 degrees for 50 minutes and then walk into the unit hemodynamic for 10 minutes. After that patients receive discharge.
Sponsors
Study design
Eligibility
Inclusion criteria
* age equal too or above 18 years * patients undergoing elective diagnostic cardiac catheterization on an outpatient basis and * who agree to participate by reading and signing the informed consent form.
Exclusion criteria
* patients with restriction ambulation; * users of coumarin anticoagulants; * IMC greater than 35 kg/m2; * patients with hypertension (systolic PA \> 180 mmHg and diastolic PA \> 110 mmHg) at the end of the procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety | until three days | Bleeding: seen after the femoral compression after walking and after sitting down ;Hematoma, pseudoaneurysm and bruise: at the site of arterial puncture;vaso-vagal reaction. All of these will be monitoring by telephone contact at 24h, 48h and 72 hours. |
Countries
Brazil