The Peripheral Venous Approach in Right Heart Catheterization, Safe Practice and Shorter Hospital Stay

Abstract

Introduction: Right catheterism is necessary for the diagnosis and evaluation of pulmonary hypertension and pulmonary and mitral valve disease. The venous approach for this procedure can be performed through a central venous line or through the trans-ulnar veins. Peripheral access (anterocubitals) could be a good alternative in order to reduce potential complications, providing benefits to the patient and to the operators of the hemodynamic room due to its easy canalization, due to there duction of intervention times and radiation dose.

Objectives: To observe the benefits of performing the right catheterism by peripheral approach with respect to the femoral veins and to enhance the role of nursing in the peripheral approach necessary for catheterism. As well as highlighting the importance of nursing staff in canalization it and subsequent management.

Methodology: An retrospective observational study was carried out with a sample of 22 patients who were made right catheterism in the hemodynamic operating room of the Costa del Sol hospital in the period between January 2019 to February 2020 whose venous approach was performed by peripherally and femorally independently.

Results: It was observed that the procedures carried out by peripheral venous Access reduced hospitalization times, scopia times and procedure duration, and consequently, reduced radiation dose.

Conclusion: The right catheterism performed by peripheral venous Access present benefits for the patient and for the development of the procedure, where nursing has an important role due to its habilities to canalize peripheral venous access.