Radial Versus Femoral Arterial Access for Interventional Procedures: Is There a Preference Among Nursing Care Providers?

Abstract Even with current generation mechanical circulatory support (MCS) devices, vascular complications are still considerable risks in MCS that influence patients’ recovery and survival. Hence, efforts are made to reduce vascular trauma and obtaining safe and adequate arterial access using state-of-the-art techniques is one of the most critical aspects for optimizing the outcomes and efficiency of percutaneous MCS. Femoral arterial access remains necessary for numerous large-bore access procedures and is most commonly used for MCS, whereas percutaneous axillary artery access is typically considered an alternative for the delivery of MCS, especially in patients with severe peripheral artery disease. This article will address the access, maintenance, closure and complication management of large-bore femoral access and concisely describe alternative access routes.

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Derivation of a procedural performance checklist for ultrasound-guided femoral arterial line placement using the modified Delphi method

The Journal of Vascular Access ◽

10.1177/1129729820904872 ◽

2020 ◽

Vol 21 (5) ◽

pp. 715-722

Author(s):

Jessica Baez ◽

Elizabeth Powell ◽

Megan Leo ◽

Uwe Stolz ◽

Lori Stolz

Keyword(s):

Delphi Method ◽

Competency Assessment ◽

Arterial Line ◽

Ultrasound Guided ◽

Arterial Access ◽

Modified Delphi Method ◽

Modified Delphi ◽

Item Checklist ◽

Standard Quality ◽

Femoral Arterial Access

Background: Many specialties utilize procedural performance checklists as an aid to teach residents and other learners. Procedural checklists ensure that the critical steps of the desired procedure are performed in a specified manner every time. Valid measures of competency are needed to evaluate learners and ensure a standard quality of care. The objective of this study was to employ the modified Delphi method to derive a procedural checklist for use during placement of ultrasound-guided femoral arterial access. Methods: A 27-item procedural checklist was provided to 14 experts from three acute care specialties. Using the modified Delphi method, the checklist was serially modified based on expert feedback. Results: Three rounds of the study were performed resulting in a final 23-item checklist. Each item on the checklist received at least 70% expert agreement on its inclusion in the final checklist. Conclusion: A procedural performance checklist was created for ultrasound-guided femoral arterial access using the modified Delphi method. This is an objective tool to assist procedural training and competency assessment in a variety of clinical and educational settings.

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Compassion Fatigue and Compassion Satisfaction Among Addiction Nursing Care Providers in Greece

Journal of Addictions Nursing ◽

10.1097/jan.0000000000000434 ◽

2021 ◽

Vol 32 (4) ◽

pp. 225-234

Author(s):

Evdokia Missouridou ◽

Athena Karavasopoulou ◽

Alexandra Psycharakis ◽

Eirini Segredou

Keyword(s):

Compassion Fatigue ◽

Nursing Care ◽

Compassion Satisfaction ◽

Care Providers

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Radial versus femoral arterial access for trauma endovascular interventions: A noninferiority study

Journal of Trauma and Acute Care Surgery ◽

10.1097/ta.0000000000002740 ◽

2020 ◽

Vol 89 (3) ◽

pp. 458-463 ◽

Cited By ~ 1

Author(s):

Sakib M. Adnan ◽

Anna N. Romagnonli ◽

Noha N. Elansary ◽

James R. Martinson ◽

Marta J. Madurska ◽

...

Keyword(s):

Arterial Access ◽

Endovascular Interventions ◽

Femoral Arterial Access

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Stent-assisted coiling of large common femoral artery pseudoaneurysm following coronary artery catheterization: an uncommon and novel approach

Romanian Journal of Internal Medicine ◽

10.1515/rjim-2016-0049 ◽

2017 ◽

Vol 55 (1) ◽

pp. 57-59

Author(s):

Mohammad Parsa Mahjoob ◽

Isa Khaheshi ◽

Mohammadreza Naderian

Keyword(s):

Coronary Artery ◽

Femoral Artery ◽

Common Femoral Artery ◽

Access Site ◽

Artery Pseudoaneurysm ◽

Arterial Access ◽

Novel Approach ◽

Femoral Arterial Access ◽

Cardiovascular Interventions

Abstract The femoral artery pseudoaneurysm is a disturbing groin complication associated with the femoral arterial access site used for invasive cardiovascular interventions. We present a 39 year old man who developed a huge right common femoral artery pseudoaneurysm, following diagnostic coronary artery catheterization, which was successfully managed with stent-assisted coiling, an emerging and narrative option in invasive percutaneous approaches to femoral artery pseudoaneurysm.

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Nursing care at end of life: a UK-based survey of the deaths of people living in care settings for people with intellectual disability

Journal of Research in Nursing ◽

10.1177/1744987118780919 ◽

2018 ◽

Vol 24 (6) ◽

pp. 366-382 ◽

Cited By ~ 5

Author(s):

Ruth Northway ◽

Stuart Todd ◽

Katherine Hunt ◽

Paula Hopes ◽

Rachel Morgan ◽

...

Keyword(s):

Intellectual Disability ◽

End Of Life ◽

Nursing Care ◽

End Of Life Care ◽

Life Care ◽

Care Providers ◽

Nursing Support ◽

Respiratory Problems ◽

The Uk ◽

The Impact

Background People with intellectual disability are believed to be at risk of receiving poor end-of-life care. Nurses, given their advocacy role and duty to provide compassionate end-of-life care, have the potential to change this situation but research regarding this aspect of their role is limited. Aims This paper thus seeks to answer the question ‘How and when are nurses involved in providing care at end of life for people with intellectual disability?’ Methods A total of 38 intellectual disability care providers in the UK providing support to 13,568 people with intellectual disability were surveyed. Data regarding 247 deaths within this population were gathered in two stages and subsequently entered into SPSSX for analysis. Results Findings revealed that the majority of deaths occurred between the ages of 50 and 69 years, the most commonly reported cause of death being respiratory problems. Both community and hospital-based nurses were involved in supporting individuals during their final 3 months of life, and sometimes more than one type of nurse provided support to individuals. Generally nursing care was rated positively, although room for improvement was also identified. Conclusions Nurses are involved in supporting people with intellectual disability at end of life and appropriate education is required to undertake this role. This may require change in curricula and subsequent research to determine the impact of such change on nursing support to this population.

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STUDI KUALITATIF: PERSEPSI REMAJA PENDERITA KANKER TERHADAP PELAYANAN KEPERAWATAN

Jurnal Ilmiah Kebidanan Imelda ◽

10.52943/jikebi.v6i1.384 ◽

2020 ◽

Vol 6 (1) ◽

pp. 45-49

Author(s):

Dirayati Sharfina ◽

Indria L. Gamayanti ◽

Fitri Haryanti ◽

Yulis Hati

Keyword(s):

Health Care Providers ◽

Nursing Care ◽

Health Workers ◽

Treatment Protocol ◽

Sampling Technique ◽

Complex Problem ◽

Developmental Phase ◽

Care Providers ◽

Research Subjects ◽

Structured Interviews

Adolescent with cancer have a complex problem. Adolescents with cancer at risk for developmental phase delay caused limitations in carrying out its role as adolescents, because of the side effects of medication and intensive relationships with health care providers. Nurses are health workers who have a frequency of more interaction to the teenagers who suffer from cancer. Form of nursing care provided by nurse will shape perceptions of teenagers. Adolescent perception of cancer patients with the care received does not match the hope will establish a nursing care desired by adolescents. This study to explore perception and hope of adolescents toward quality of nursing care in Adam Malik Hospital Medan. Qualitative research methods through a phenomenological approach. Adolescent with cancer as research subjects, aged 13-19 years who had been diagnosed with cancer and was undergoing treatment protocol. The sampling technique used the maximum variance. Data were collected through semi-structured interviews with tools interview, observation, field notes, and tools as well as the record will be analyzed by the method Colaizzi The themes that reflect the perceptions and hope of adolescents to nursing care include 1) an overview of nurses’ profile, 2) the ability and skills of nurses, 3) nurses’ attitude, 4) preparedness nurses, 5) the provision of social support. Adolescents also hope hospital’s management add room facilities in order to easy to access the health service especially service care for adolescents. Adolescents with cancer have a different impression at the beginning of the meeting and after getting care by nurses. Further researcher can choose suitable location to interview and research about hope of adolescent’s cancer and nurse’s role in adolescent’s cancer.

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