Implantable cardiac loop recorders in the setting of a daily hospital: opportunities and challenges

    Authors

    Keywords

    day hospital, implantable loop recorder, nursing role

    DOI

    https://doi.org/10.15836/ccar2024.638

    Full Text

    The implantation of implantable loop recorders (ILR) in the context of a cardiac day hospital offers numerous benefits, particularly in terms of more efficient resource utilization. Traditionally performed in invasive labs, transitioning this minimally invasive procedure to day hospitals alleviates the burden on invasive labs and reduces the need for patient hospitalization. This leads to faster recovery and a lower risk of hospital-acquired infections. Nurses play a critical role in this process, with responsibilities ranging from organizing the procedure and educating patients to preparing for the intervention and providing postoperative care. Nurses need to possess specific skills, including knowledge of implantation techniques, managing postoperative complications such as hematomas or device dislocations, and communication skills to effectively inform patients about their recovery and device usage. According to available research, the inclusion of nurses in the ILR implantation process has shown excellent results. Programs led by nurses have demonstrated success rates comparable to those in invasive labs, with fewer complications and quicker patient recovery. In conclusion, ILR implantation through day hospitals require a high level of organization and expertise, particularly among nurses. They must be equipped with specific knowledge and skills to ensure safe and effective care for patients. (1-3)

    Literature

    1. Cicogna F, Lanza O, Monzo L, Tota C, Cice G, De Ruvo E, et al. The implantable cardiac monitor in heart failure patient: a possible new indication? Eur Heart J Suppl. 2023 April 26;25 Suppl C:C344–8. https://doi.org/10.1093/eurheartjsupp/suad031
    2. Steinhauer B, Dütschler S, Spicher J, Aerschmann S, Ambord N, Bartkowiak J, et al. Patient satisfaction, safety, and efficacy of nurse-led compared to physician-led implantation of cardiac monitors. Eur J Cardiovasc Nurs. 2024 July 19;23(5):452–7. https://doi.org/10.1093/eurjcn/zvad103
    3. Mahrous K, Ismaeil A, Nasr H, Fatma M. Mahrous, Marzouk F. Nurses’ performance for patients with implantable cardiac devices. Egyptian Journal of Health Care. 2024;15(1):625–37. https://doi.org/10.21608/ejhc.2024.343034
    Cardiologia Croatica
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    Implantable cardiac loop recorders in the setting of a daily hospital: opportunities and challenges

    Extended Abstract
    Issue11-12
    Published
    Pages638
    PDF via DOIhttps://doi.org/10.15836/ccar2024.638
    day hospital
    implantable loop recorder
    nursing role

    Authors

    Andrea Pleša*ORCIDDubrava University Hospital, Zagreb, Croatia
    Nikolina Jurković DubravčićORCIDDubrava University Hospital, Zagreb, Croatia
    Renee MixichORCIDDubrava University Hospital, Zagreb, Croatia
    Senka PejkovićORCIDDubrava University Hospital, Zagreb, Croatia

    *Correspondence email: andrea.plesa1@gmail.com

    Full Text

    The implantation of implantable loop recorders (ILR) in the context of a cardiac day hospital offers numerous benefits, particularly in terms of more efficient resource utilization. Traditionally performed in invasive labs, transitioning this minimally invasive procedure to day hospitals alleviates the burden on invasive labs and reduces the need for patient hospitalization. This leads to faster recovery and a lower risk of hospital-acquired infections. Nurses play a critical role in this process, with responsibilities ranging from organizing the procedure and educating patients to preparing for the intervention and providing postoperative care. Nurses need to possess specific skills, including knowledge of implantation techniques, managing postoperative complications such as hematomas or device dislocations, and communication skills to effectively inform patients about their recovery and device usage. According to available research, the inclusion of nurses in the ILR implantation process has shown excellent results. Programs led by nurses have demonstrated success rates comparable to those in invasive labs, with fewer complications and quicker patient recovery. In conclusion, ILR implantation through day hospitals require a high level of organization and expertise, particularly among nurses. They must be equipped with specific knowledge and skills to ensure safe and effective care for patients. (1–3)

    Literature

    1. 1.
      Cicogna F, Lanza O, Monzo L, Tota C, Cice G, De Ruvo E, et al. The implantable cardiac monitor in heart failure patient: a possible new indication? Eur Heart J Suppl. 2023 April 26;25 Suppl C:C344–8.DOI
    2. 2.
      Steinhauer B, Dütschler S, Spicher J, Aerschmann S, Ambord N, Bartkowiak J, et al. Patient satisfaction, safety, and efficacy of nurse-led compared to physician-led implantation of cardiac monitors. Eur J Cardiovasc Nurs. 2024 July 19;23(5):452–7.DOI
    3. 3.
      Mahrous K, Ismaeil A, Nasr H, Fatma M. Mahrous, Marzouk F. Nurses’ performance for patients with implantable cardiac devices. Egyptian Journal of Health Care. 2024;15(1):625–37.DOI