I need info on post angio bed rest - page 2
Can anyone help? I'm doing an assignment on post angiogram bed rest and generally need info on how long patients stay in bed rest in other hospitals. I work in Cardiff and we keep patients on bed... Read More
Dec 21, '01Originally posted by Morph
Can anyone help? I'm doing an assignment on post angiogram bed rest and generally need info on how long patients stay in bed rest in other hospitals. I work in Cardiff and we keep patients on bed rest for 6 hours which I feel is too long. If you have any info, can you e-mail me at David@theluggage.freeserve.co.uk. ThanksLast edit by benham on Dec 21, '01
Feb 4, '02In our cath lab when we use 5 Fr. Sheaths the down time is 3 hours after manual pressure. If 6 Fr then downtime is 4 hrs. We also use perclose and then downtime is 1 hr. No complications since we started the 3 hr duration.
Apr 10, '02Where I work we have a new cardiologist who greatly decreases the length of downtime for pts. He only requires 3hrs bedrest post hemostasis even for pts on integrilin and reapro. We have not seen an increase in bleeding complications r/t to this decreased length of bedrest. Also perclose have 1hr bedrest. Most MDs at our facility require the standard 6hrs, one requires bedrest til breakfast, and angioseals have 4hrs bedrest.
Jul 30, '02In Singapore, we also do advice our cardiac cath patients to complete rest in bed for 6 hrs,not to bend,strain or lift heavy objects during this time & not to sit upright.Now some of the senior cardiologists or the more experience ones are doing cardiac cath thru the artery or a vein of the arm so the patients does not need to be complete rest in bed and can ambulate to the toilet.But here majority cases,we still do it at the groin area.So we still have to advice patients like above.
Jul 30, '02If the patient has sheaths they are on bedrest for six hours. Once the sheath is pulled it's usually six more hours of bedrest. For our patients who are perclosed four hours of bedrest.
Our patients with sheaths have a really hard time laying on their back flat for 12 hours or more. They c/o of a lot of back pain. Our perclosed patients do much better. Hope this helps.
Jul 27, '03There is also a device out there called the syvek patch, similar in size and shape to an alcohol prep. It is placed over the punture site with manual pressure held for 6-10 minutes. The patch itself is made from some type of seaweed derivative and escalates the clotting cascade by positive/negative ion charges. (It's positive the blood is Negative and it attracts blood towards it and in turn the clotting cascade is escalated.) It can be used with ACT's up to 220 and is a pretty slick little device. Low incidence of poor outcome because nothing is ever introduced into the body. The bed rest then is addressed as a 1, 2, 3... thing. 1 hour flat, up at a 45 degree angle at 2 hours, ambulate and home in 3 hours. We have been using this for about 18 months on both clean caths and interventions and we all love it. Also the newest generation of angioseal has a suture that's clipped immediately and offers less bed rest, only for 1-2 hours.
Aug 1, '03Sheath pull: bedrest 5-6 hr, may elevate HOB to 30 degrees after 1st 1-2hr
Angioseal: Rep's poster says bedrest X 20min, discharge in 1hr, but we elevate HOB 30degrees and order bedrest X2hr, then discharge (for outpts).
Perclose: Bedrest X 2hr then discharge.
Never tried Syvek patch (sounds like voodoo!! )
Have used Vasoseal in previous facility, we ordered 2hr bedrest w/HOB elevated 30degrees, then ambulation/discharge.
Aug 11, '03Our docs usually have them stay flat 4-6 hours, depending on the particular physician (most use 6Fr. sheaths).
With Angioseal and Perclose, most will allow them up after 1 hour.
Many won't use closure devices, primarily because of a really baaaad experience we had with a closure device last year which resulted in a fatality.