“Optimizing The Quality of Life Children Under SDGs” Sustainable Development Goals
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and radial artery puncture repetition on the action of transradial cardiac catheterization can increase damage or injury to the blood vessels, causing bleeding and increase the incidence
of hematoma.
Make sure the proper location before stabbing at the radial artery, use the touch pulsasinya clear and precise needle punctures so cultivated once successful, because in
case of failure will increase the risk of hematoma.
f. TR Band and Genesis Hematoma
Patients who underwent cardiac catheterization with the use of TR Band with air pressure ofl ess than 13 cc may affect the incidence of hematoma p value = 0.00, with the infl uence
of 13.9 times the hematoma. There is no type of effective compression tool that can provide the proper pressure and does not cause complications hematoma
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. The emphasis of the radial artery using TR Band with pressure 13 cc is not always
safe because of a complaint against vascularization to the area distal from the radial artery as well as the pain that needs to be reduced pressure of 13 cc, with pressure reduction will
lead to injury of blood vessels have not been returned or hemoestasis process has not been formed so bleeding and hematoma occurred
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. TR pressure reduction Band performed before his time with the consideration in the
event of disruption of blood fl ow to distal and pain resulting hemodynamic disturbances are likely due to the use of TR Band. Pengurakan pressure TR Band performed but is likely to
occur hematomas so long as the reduction is to be monitored the occurrence of hematoma and circulation to the area distal to the ulnar artery pulsation felt so comfort of patients remain
unnoticed.
g. Body mass index and incidence of hematoma
Patients who underwent cardiac catheterization with normal Body Mass Index and not normal no effect on the incidence of hematoma p value = 0.661 greater than 0.05, with much
infl uence the occurrence of hematoma 0 times. Based on the analysis by the Chi-Square data showed that there were no differences in the incidence of hematoma proportion with
body mass index p value = 0.661; 0.5, with OR = 0 means that patients with a BMI over with normal BMI did not infl uence the occurrence of hematoma.
Body mass index indicates overweight where there will be a buildup of thick muscle mass which includes the area of the femoral and radial diradialis bit. The thickness of the muscle in
the insertion area will affect the conduct arterial insertion in the cardiac catheterization action that will have diffi culty in fi nding areas that will be in cannulation artery and the manipulation
of the catheter during catheterization jantung action
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. The thickness of the muscle in the femoral area is thicker than in the radial artery area, so that the diffi culties at the femoral
artery access is more diffi cult than the radial artery that obesity will affect hematoma in transfemoral compared transradial cardiac catheterization.
Based on the test results of the bivariate analysis with chi square test, there are fi ve variables: the type of drug administration, the size of the sheath, the value of blood pressure,
puncture and TR Band frequency, the effect on the incidence of hematoma, while variables body mass index showed no effect on the incidence of hematoma.
The variables that most infl uence on the incidence of hematoma with OR greatest value is variable sheath size is 31.6, while the smallest infl uence on the incidence of hematoma
is the frequency factor puncture with an OR of 4.4.
