CATETERISMO CARDÍACO: o enfermeiro e o índice de hematomas no pós-operatório de cateterismo cardíaco

Abstract

This work refers to the nurse's performance in manual compression after removal of the femoral introducer in Immediate Postoperative (POI) and Post-operative Mediato (POM) in Cardiac Catheterization (CAT). A sample of 68 patients submitted to CAT at Minascor de Varginha-MG, from June to July in 2007, were divided into three groups of professionals who performed manual compression: group 01 nurse, group 02 nurse technician and group 03 nursing students. Small hematoma was defined as palpable swelling at the puncture site less than 2 cm; moderate hematoma, 2 to 6 cm in diameter; and large hematoma larger than 6 cm in diameter. Manual compression was performed from 10 to 14 minutes, 15 to 20 minutes, 21 to 25 minutes and over 25 minutes. In group 01 - two (40%) of the patients formed a hematoma, in the group 02 - five (56%) of the patients formed a hematoma and in the group 03 - fifteen (28%) of the patients formed a hematoma. The manual compression after percutaneous coronary interventions can be performed by the nurse safely and without major complications, the estimated time for a good result is over 15 minutes.