Arterial and Venous Sheath Removal

Arterial and Venous Sheath Removal

The number of endovascular procedures performed by cardiologists and vascular surgeons has dramatically increased in the past decade. Following these procedures, arterial sheaths, venous sheaths, or both may be left in place. Removing the sheath may improve patient comfort and shorten the amount of bed rest required, which can lead to positive patient outcomes. However, sheath removal isn’t without risk, and nurses need appropriate training for the procedure.

Various methods help control bleeding following sheath removal, including manual compression (used alone or with a hemostasis pad), mechanical compression devices, collagen plug devices, or percutaneous suture-mediated closure devices. Manual compression can cause fatigue and injury, possibly leading to carpal tunnel problems for the health care worker applying the compression. Mechanical compression techniques help prevent such problems and effectively prevent hematoma formation.

Preparation of Equipment

Perform hand hygiene1,2,3 and bring the equipment to the patient’s bedside. Using sterile technique, open the suture removal kit and gauze packages and place them within reach. If a hemostasis pad is being used, open it using sterile technique and open the normal saline solution. (See “Sterile technique, basic,” page 671.)

Jul 21, 2016 | Posted by in NURSING | Comments Off on Arterial and Venous Sheath Removal

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