Effect of Controlled Expiratory Pressures on Pain during Removal Femoral Arterial Sheath Post Percutaneous Coronary Intervention

Noor Al-Huda Alziyadi; Mohammed Hakim Al-Hchaim; Ahmed Nema Rjeeb

doi:10.36321/kjns.vi20251.18154

Authors

Noor Al-Huda Alziyadi Adults Health Nursing Department, Faculty of Nursing, University of Kufa, AL-Najaf, Iraq https://orcid.org/0009-0004-8504-1617
Mohammed Hakim Al-Hchaim Adults Health Nursing Department, Faculty of Nursing, University of Kufa, AL-Najaf, Iraq https://orcid.org/0000-0002-2532-148X
Ahmed Nema Rjeeb Faculty of Medicine, University of Kufa, AL-Najaf, Iraq.

DOI:

https://doi.org/10.36321/kjns.vi20251.18154

Keywords:

Keywords: Expiratory pressure, femoral sheath, pain , percutaneous coronary Intervention

Abstract

Background: The removal of femoral arterial sheaths post-percutaneous coronary intervention (PCI) is often associated with pain, which can affect patient recovery. Multiple strategies have been suggested to mitigate these sensations, with controlled expiratory pressure (CEP) identified as a potential method for pain alleviation during procedural pain.

Study Aim: To evaluate the effect of controlled expiratory pressure (CEP) on pain perception during the removal of femoral arterial sheaths following percutaneous coronary Intervention (PCI).

Methods: A quasi-experimental design was performed at AL-Najaf Center for Cardiac Surgery and Cardiac Catheterization between (16^th October to 1^st December 2024). A purposive sample ( non-probability) of (128) patients after PCI procedures . Pain was assessed using the Numeric Rating Scale (NRS).

Result: The current result indicated a significant reduction in pain intensity during the femoral sheath removal at a p-value of 0.05.

Conclusion: Controlled expiratory pressure is an effective, non-invasive technique for reducing pain post-PCI during femoral arterial sheath removal. This approach could offer an easy-to-implement adjunct to standard care, improving patient comfort.

Recommends: According to the findings of the current study, the controlled expiratory pressure of valsalva maneuver should be for managing pain, and further studies are recommended to explore its clinical applicability and long-term benefits.