Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/1221
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dc.contributor.authorZinkel, Annika-
dc.contributor.authorRolley, John-
dc.contributor.authorBotti, Mari-
dc.contributor.authorHutchinson, Ana-
dc.date.accessioned2017-09-08T01:32:40Z-
dc.date.available2017-09-08T01:32:40Z-
dc.date.issued2017-06-
dc.identifier.citationEpworth Research Institute Research Week 2017; Poster 62: pp 86en_US
dc.identifier.urihttp://hdl.handle.net/11434/1221-
dc.description.abstractINTRODUCTION AND BACKGROUND: Patients undergoing elective cardiology procedures may be at risk of preventable harm related to lengthy pre-procedural fasting. This qualitative study explored cardiologists' current practice choices and views towards pre-procedural fasting. AIMS: This study was undertaken to explore how cardiologists make decisions about pre-procedural fasting and what factors they consider when making these clinical decisions. METHODS: Semi-structured, individual interviews took place with cardiologists at the study site, the interviews were digitally recorded and then transcribed for later analysis. A constant comparative approach was used to identify key themes emerging from the interviews. RESULTS AND KEY THEMES: Eight cardiologists were interviewed, who managed cardiology patients pre-and post procedure and performed interventional procedures in the Cardiac Catheterisation Laboratory (CCL), such as Coronary Angiogram (CA), Percutaneous Coronary Intervention (PCI), Permanent Pacemaker (PPM) and Implantable Cardioverter Defibrillator (ICD) implant devices as well as cardioversion, Aortic Arch Stenting (AAS) and Right Heart Catheterisation (RHC). The average fasting practices as reported by the study participants were approximately four to six hours fasting for solid intake and clear fluids combined. The key themes emerging from the interviews included: professional expertise and the challenges associated with managing complex patients undertaking prolonged procedures. Both the importance of managing the potential for aspiration in patients receiving sedation, and preventing the complications associated with prolonged fasting such as dehydration, Contrast Induced Nephrotoxicity (CIN) and hypoglyaemia in patients with diabetes was discussed. DISCUSSION AND CONCLUSION: Cardiologists interviewed had strategies in place in their clinical practice to balance the potential side effects of prolonged fasting, such as individual patient assessment and widespread use of Intravenous (IV) fluid hydration during the cardiology procedures. The major contribution to knowledge of this study includes a better understanding of cardiologists' decision-making about pre-procedural fasting practices and also their preferences as far as future research goes.en_US
dc.subjectPre-Procedural Fastingen_US
dc.subjectClinical Decision Makingen_US
dc.subjectElective Cardiologyen_US
dc.subjectPreventable Harmen_US
dc.subjectCardiac Cathetirisation Laboratoryen_US
dc.subjectCCLen_US
dc.subjectCoronary Angiogramen_US
dc.subjectCAen_US
dc.subjectPercutaneous Coronary Interventionen_US
dc.subjectPCIen_US
dc.subjectPermanent Pacemakeren_US
dc.subjectPPMen_US
dc.subjectImplantable Cardioverter Defibrillatoren_US
dc.subjectICDen_US
dc.subjectCardioversionen_US
dc.subjectAortic Arch Stentingen_US
dc.subjectAASen_US
dc.subjectRight Heart Catheterisationen_US
dc.subjectRHCen_US
dc.subjectComplex Patientsen_US
dc.subjectProfessional Expertiseen_US
dc.subjectAspirationen_US
dc.subjectDehydrationen_US
dc.subjectContrast Induced Neprotoxicityen_US
dc.subjectCINen_US
dc.subjectHypoglycaemiaen_US
dc.subjectDiabetesen_US
dc.subjectIndividual Patient Assessmenten_US
dc.subjectIntravenous Fluid Hydrationen_US
dc.subjectCardiac Sciences Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.subjectCentre for Quality and Patient Safety Research, Epworth HealthCare Partnershipen_US
dc.titleCardiologist decision-making about pre-procedural fasting.en_US
dc.typeConference Posteren_US
dc.description.affiliatesSchool of Nursing and Midwifery, Deakin University, Geelong, Australiaen_US
dc.type.studyortrialSurveyen_US
dc.description.conferencenameEpworth Research Institute Research Week 2017en_US
dc.description.conferencelocationEpworth Research Institute, Victoria, Australiaen_US
dc.type.contenttypeTexten_US
Appears in Collections:Cardiac Sciences
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