Cardiology in the young · 2022
Safety and feasibility of the paediatric post-cardiac catheterisation Wrap: a pilot study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Haley Jennifer, Engstrand Shannon L, Cole Alexandra, Schenkel Sara, Hinsley Karen, Brawn Brenda, Esch Jesse, Ibla Juan, DeGrazia Michele
Аннотация
OBJECTIVE: The paediatric post-cardiac catheterisation Wrap (Wrap), an innovative medical safety device, swaddles young paediatric patients in a supine position aiding in immobilisation post-cardiac catheterisation. This pilot study investigated the feasibility and safety of using the Wrap on young paediatric patients during their bed rest period following cardiac catheterisation with femoral access.
SETTING: Boston Children's Hospital Cardiac Catheterization Lab.
PARTICIPANTS: 20 patients, ages 1-5 years and weighing 3-25 kg.
METHODS: Investigator-developed tools used to collect data included the Demographic and Outcome Measures Data Tool, the Parent/Caregiver Satisfaction, and Provider Ease of Use tools. They measured: 1. The feasibility of using the Wrap 2. Wrap ease of use from the nurse providers' perspective 3. Parent satisfaction related to the Wrap 4. Frequency of Wrap non-bleeding-related adverse events 5. Frequency of rebleeding at femoral groin access sites.
RESULTS: The Wrap was feasible and safe; increased nurse provider satisfaction by allowing visualisation of the groin access sites while minimising the need for hands-on care; and increased parent satisfaction by allowing parents to hold and provide comfort while their child was on bed rest.
IMPLICATIONS FOR RESEARCH: The Wrap is a safe alternative to the current practice of swaddling with a bath blanket. Further studies are warranted to assess the Wrap's effectiveness in reducing the incidence of rebleeding events in the post-cardiac catheterisation period and explore clinical use outside of the Cardiac Catheterization Lab.
SETTING: Boston Children's Hospital Cardiac Catheterization Lab.
PARTICIPANTS: 20 patients, ages 1-5 years and weighing 3-25 kg.
METHODS: Investigator-developed tools used to collect data included the Demographic and Outcome Measures Data Tool, the Parent/Caregiver Satisfaction, and Provider Ease of Use tools. They measured: 1. The feasibility of using the Wrap 2. Wrap ease of use from the nurse providers' perspective 3. Parent satisfaction related to the Wrap 4. Frequency of Wrap non-bleeding-related adverse events 5. Frequency of rebleeding at femoral groin access sites.
RESULTS: The Wrap was feasible and safe; increased nurse provider satisfaction by allowing visualisation of the groin access sites while minimising the need for hands-on care; and increased parent satisfaction by allowing parents to hold and provide comfort while their child was on bed rest.
IMPLICATIONS FOR RESEARCH: The Wrap is a safe alternative to the current practice of swaddling with a bath blanket. Further studies are warranted to assess the Wrap's effectiveness in reducing the incidence of rebleeding events in the post-cardiac catheterisation period and explore clinical use outside of the Cardiac Catheterization Lab.