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KMID : 1221920170100020024
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Journal of Korean Critical Care Nursing
2017 Volume.10 No. 2 p.24 ~ p.33
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The Effect of the Weight of a Sandbag on the Sheath Region after a Transcatheter Arterial Chemoembolization
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Cha Kyeong-Sook
Ko Ji-Woon
Lee Kee-Lyong
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Abstract
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Purpose: This study aimed to investigate the differences in exudate and bleeding incidence and the changes in back pain and discomfort based on the weight of a sand bag applied to the femoral puncture site after hepatic transcatheter arterial chemoembolization.
Methods: This quasi-experimental study comprised 82 patients randomly divided into three different groups. Experimental group 1 patients had a 600g sandbag, experimental group 2 patients an 800g sandbag, and control group patients a 1900g sandbag, on femoral access sites post procedure. The three groups of patients were assessed on level of exudate and bleeding and asked about back pain and discomfort at 30, 60, 120, 180 and 240 minutes after the procedure.
Results: There were no significant differences in exudate and bleeding between the three groups before and after application of the sandbag post procedure. Both back pain and discomfort were significantly lower in the experimental groups than in the control group.
Conclusion: There was no significant effect on bleeding and exudation due to the weight of the sandbag. The lowest level of back pain and discomfort was found in the group with the lightest weight (600 g). Therefore, the use of lighter-weight sandbags to prevent post procedure vascular complications is proposed.
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KEYWORD
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Chemoembolization , Hemorrhage , Exudate , Back pain , Discomfort , Sandbag
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