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March 04-05, 2019 | London, UK
European Nursing Congress
Journal of Intensive and Critical Care Nursing | Volume 2
Groin dressing post cardiac catheterization: Traditional pressure VS. Transparent film
Rokaia M Al Shualah
Royal Commission Hospital, Saudi Arabia
P
ost cardiac catheterization puncture site care is usually
done with a tight pressure dressing in many institutions
and cardiac centres due to the belief that it should prevent
the bleeding. This practice is uncomfortable to the patients.
Nurses have also described difficulty in assessing the sheath
insertion site in the groin when a pressure dressing is in place.
A new way of dressing using transparent film dressing (TFD)
has approved and rated better with regard to: comfort, less
pain, decrease hematoma formation and facilitates nurses’
assessment of puncture wound site after femoral sheath
removal. The aim of this study was to determine the efficacy
of using a small transparent non pressure dressing compared
with the traditional controlled pressure dressing applied to
the femoral artery puncture wound to maintain haemostasis
with respect to 3 outcomes: patient satisfaction, bleeding
or hematoma formation, and ease of nursing assessment of
the groin puncture site after the procedure. 80 post cardiac
catheterization patients were randomized to have their
groins dressed either with pressure dressing or TFD. 100% in
TFD group vs. 55% in pressure dressing group reported feeling
very comfortable (p-value=0.003). Hematoma formation
was equal in the two dressing groups with no incidence of
bleeding complications. Nurses rated the ease of assessing
the groin significantly higher for TFD than for pressure
dressings (p-value=0.000). Dressing of the puncture site after
cardiac catheterization with TFD was more comfortable than
the conventional pressure dressing without any difference in
hematoma or bleeding complications.
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