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Endovascular procedure can be performed achieving access in to body’s arterial system from either femoral artery (in groin), brachial artery (in elbow) or radial artery in the wrist. The transfemoral (through groin) approach to perform cardiac catheterization has typically been more prevalent in invasive cardiology.
The International Patient Safety Goals (IPSG) were developed in 2006 by the Joint Commission International (JCI). The goals were adapted from the JCAHO's National Patient Safety Goals. [1] Compliance with IPSG has been monitored in JCI-accredited hospitals since January 2006. [1]
The radial artery arises from the bifurcation of the brachial artery in the antecubital fossa.It runs distally on the anterior part of the forearm. There, it serves as a landmark for the division between the anterior and posterior compartments of the forearm, with the posterior compartment beginning just lateral to the artery.
The patient is asked to clench both fists tightly for 1 minute at the same time. Pressure is applied over the radial and ulnar arteries simultaneously so as to occlude them. The patient then opens the fingers of both hands rapidly, and the examiner compares the colour of both. The initial pallor should be replaced quickly by rubor.
Patient specific risk factors for the development of catheter-related bloodstream infections include placing or maintaining a central catheter in those who are immunocompromised, neutropenic, malnourished, have severe burns, have a body mass index greater than 40 (obesity) or if a person has a prolonged hospital stay before catheter insertion. [10]
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The patient will be moved to a recovery area where he/she will be monitored. For patients who had a catheterization at the femoral artery or vein (and even some of those with a radial insertion site), in general recovery is fairly quick, as the only damage is at the insertion site.
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