Scholarlink

Background <p>The manual compression approach is still widely used to achieve hemostasis of the radial artery. This study aimed to evaluate the effectiveness of competency-driven hemostasis training for radial artery among early-career residents.</p> Methods <p>This prospective, self-controlled study included 10 residents who had not previously received standard compression hemostasis training (Trial Registration: ChiCTR1900025140, 13/08/2019). Radial artery compression was performed in 100 patients both before and after training. The primary endpoints were 5&#xa0;min hemostasis success rate, incidence of hematoma/bruise in puncture site, and the secondary endpoints were compression-related neurological sequelae and allergic responses.</p> Results <p>The analysis demonstrated a significant improvement in the 5-min hemostasis success rate (84.94% vs. 93.62%, <i>P</i> = 0.05) and a substantial reduction in the occurrence of hematoma/bruise (29.03% vs. 13.82%, <i>P</i> = 0.011). There were no significant differences in the frequencies of neurological complications (3.22% vs. 1.06%, <i>P</i> = 0.65) or allergic reactions (4.30% vs. 3.19%, <i>P</i> = 0.32) between the pre- and post-training phases.</p> Conclusions <p>The competency-driven hemostasis training for radial artery enhanced hemostatic effectiveness while ensuring procedural safety, as demonstrated by a reduction in hematoma/bruise formation, without elevating the risk of neurological sequelae or allergic responses. The findings established an evidence-based foundation for competency-driven hemostasis training.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Competency-driven hemostasis training reduces vascular complications in transradial hemodynamic monitoring: a self-controlled trial with early-career residents

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年10月24日

查看全文
  • Qin Hou,
  • Bin Zhou,
  • Jing-Ping Kang,
  • Yun-Xia Zuo

摘要

Background

The manual compression approach is still widely used to achieve hemostasis of the radial artery. This study aimed to evaluate the effectiveness of competency-driven hemostasis training for radial artery among early-career residents.

Methods

This prospective, self-controlled study included 10 residents who had not previously received standard compression hemostasis training (Trial Registration: ChiCTR1900025140, 13/08/2019). Radial artery compression was performed in 100 patients both before and after training. The primary endpoints were 5 min hemostasis success rate, incidence of hematoma/bruise in puncture site, and the secondary endpoints were compression-related neurological sequelae and allergic responses.

Results

The analysis demonstrated a significant improvement in the 5-min hemostasis success rate (84.94% vs. 93.62%, P = 0.05) and a substantial reduction in the occurrence of hematoma/bruise (29.03% vs. 13.82%, P = 0.011). There were no significant differences in the frequencies of neurological complications (3.22% vs. 1.06%, P = 0.65) or allergic reactions (4.30% vs. 3.19%, P = 0.32) between the pre- and post-training phases.

Conclusions

The competency-driven hemostasis training for radial artery enhanced hemostatic effectiveness while ensuring procedural safety, as demonstrated by a reduction in hematoma/bruise formation, without elevating the risk of neurological sequelae or allergic responses. The findings established an evidence-based foundation for competency-driven hemostasis training.