You are here

Article Text

Article menu
Download PDFPDF
Scientific letters
Position and Mobilisation Post-Angiography Study (PAMPAS): a comparison of 4.5 hours and 2.5 hours bed rest
  1. S D Pollard1,
  2. K Munks1,
  3. C Wales2,
  4. D C Crossman2,
  5. D C Cumberland3,
  6. G D G Oakley1,
  7. J Gunn2
  1. 1Department of Cardiology, Sheffield Teaching Hospitals NHS Trust, Northern General Hospital, Sheffield, UK
  2. 2Cardiovascular Research Group, University of Sheffield, Sheffield, UK
  3. 3Ampang Puteri Specialist Hospital, Jalang Memanda, Mukin Ampang, Selangor, Malaysia
  1. Correspondence to:
    Sarah Pollard, RGN, North Sheffield PCT, Welfare House, Firth Park, Sheffield S5 6NU, UK;
    sarah.pollard{at}sheffieldn-pct.nhs.uk

https://doi.org/10.1136/heart.89.4.447

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    After cardiac catheterisation, haemostasis is usually achieved by manual compression of the puncture site. The patient is then laid flat, allowed to sit up and then to mobilise—a process taking considerably longer than the procedure itself, and possibly involving more prolonged bed occupancy than is necessary. Well conducted, randomised, controlled trials of patient position (supine or upright) and duration of rest after catheterisation, with consistent use of the small calibre catheters used in contemporary practice, and robust definitions of haemorrhagic complications, are few, and include only small numbers of patients.1–3 Consequently, a poll of 32 institutions in the UK in the year 2000 (conducted by SDP) revealed that the length of time patients are kept supine varies from 0–6 hours (mean 2.2 hours), with bed rest lasting from 3–24 hours (mean 5.7 hours).

    We aimed to examine the safety of early sit-up and mobilisation after routine cardiac catheterisation in contemporary practice.

    METHODS

    We performed a prospective, randomised, open label, controlled trial in which patients, who had undergone elective 6 French cardiac catheterisation via the femoral artery, were randomly assigned to either 4.5 hours bed rest, with sit-up (elevation of the head of the bed to 60°) after 4 hours (group A) or 2.5 hours bed rest, with sit-up after 1 hour (group B). The primary end point was vascular complications, comprising …

    View Full Text

    Linked Articles

    • Miscellanea
      WEB TOP 10
      BMJ Publishing Group Ltd and British Cardiovascular Society
      Heart 2003; 89 588-588 Published Online First: 01 Jun 2003. doi: 10.1136/heart.89.6.588