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Safety and feasibility of the paediatric post-cardiac catheterisation Wrap: a pilot study

Part of: Interventional Cardiology

Published online by Cambridge University Press:  02 February 2022

Jennifer Haley ,
Shannon L. Engstrand ,
Alexandra Cole Open the ORCID record for Alexandra Cole [Opens in a new window] ,
Sara Schenkel ,
Karen Hinsley ,
Brenda Brawn ,
Jesse Esch ,
Juan Ibla  and
Michele DeGrazia
Jennifer Haley*
Affiliation:
Cardiac Catheterization Lab, Boston Children’s Hospital, Boston, MA, USA
Shannon L. Engstrand
Affiliation:
Cardiovascular and Critical Care, Boston Children’s Hospital, Boston, MA, USA
Alexandra Cole
Affiliation:
Cardiovascular and Critical Care, Boston Children’s Hospital, Boston, MA, USA
Sara Schenkel
Affiliation:
Division of Pediatric Global Health, Massachusetts General Hospital, Boston, MA, USA
Karen Hinsley
Affiliation:
Cardiac Catheterization Lab, Boston Children’s Hospital, Boston, MA, USA
Brenda Brawn
Affiliation:
Cardiac Catheterization Lab, Boston Children’s Hospital, Boston, MA, USA
Jesse Esch
Affiliation:
Cardiac Catheterization Lab, Boston Children’s Hospital, Boston, MA, USA
Juan Ibla
Affiliation:
Cardiac Catheterization Lab, Boston Children’s Hospital, Boston, MA, USA
Michele DeGrazia
Affiliation:
Cardiovascular and Critical Care, Boston Children’s Hospital, Boston, MA, USA
*
Author for correspondence: J. Haley, Cardiac Catheterization Lab, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Tel: +(617) 355-6189; Fax: (617) 730-0652. E-mail: Jennifer.haley@cardio.chboston.org
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Abstract

Objective:

The paediatric post-cardiac catheterisation Wrap (Wrap), an innovative medical safety device, swaddles young paediatric patients in a supine position aiding in immobilisation post-cardiac catheterisation. This pilot study investigated the feasibility and safety of using the Wrap on young paediatric patients during their bed rest period following cardiac catheterisation with femoral access.

Setting:

Boston Children’s Hospital Cardiac Catheterization Lab.

Participants:

20 patients, ages 1–5 years and weighing 3–25 kg.

Methods:

Investigator-developed tools used to collect data included the Demographic and Outcome Measures Data Tool, the Parent/Caregiver Satisfaction, and Provider Ease of Use tools. They measured:

  1. 1. The feasibility of using the Wrap

  2. 2. Wrap ease of use from the nurse providers’ perspective

  3. 3. Parent satisfaction related to the Wrap

  4. 4. Frequency of Wrap non-bleeding-related adverse events

  5. 5. Frequency of rebleeding at femoral groin access sites

Results:

The Wrap was feasible and safe; increased nurse provider satisfaction by allowing visualisation of the groin access sites while minimising the need for hands-on care; and increased parent satisfaction by allowing parents to hold and provide comfort while their child was on bed rest.

Implications for Research:

The Wrap is a safe alternative to the current practice of swaddling with a bath blanket. Further studies are warranted to assess the Wrap’s effectiveness in reducing the incidence of rebleeding events in the post-cardiac catheterisation period and explore clinical use outside of the Cardiac Catheterization Lab.

Keywords

Pediatriccardiac catheterizationhemostasisre-bleedimmobilization
Type
Original Article
Information
Cardiology in the Young , Volume 33 , Issue 1 , January 2023 , pp. 11 - 20
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Copyright
© The Author(s), 2022. Published by Cambridge University Press

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