Woggle: Difference between revisions
From Bay Area Structural Heart Wiki
No edit summary |
No edit summary |
||
| (One intermediate revision by the same user not shown) | |||
| Line 1: | Line 1: | ||
[[File:woggleloose.jpg|thumb|150px|right|Woggle released|link={{filepath:woggleloose.jpg}}]] | [[File:woggleloose.jpg|thumb|150px|right|Woggle released|link={{filepath:woggleloose.jpg}}]] | ||
[[File:woggletight.jpg|thumb|150px|right|Woggle tightened|link={{filepath:woggletight.jpg}}]] | [[File:woggletight.jpg|thumb|150px|right|Woggle tightened|link={{filepath:woggletight.jpg}}]] | ||
[[File:woggleQR. | [[File:woggleQR.png|thumb|150px|right|QR Code for this page]] | ||
===About the woggle=== | ===About the woggle=== | ||
A “Woggle“ is used to secure the skin over a large-bore venous access site after the sheath is removed. Consisting of a purse-string suture in the skin and a tension device, it provides enough pressure to keep the site from bleeding while allowing the physician to check the site periodically without having to cut and tie a knot. | A “Woggle“ is used to secure the skin over a large-bore venous access site after the sheath is removed. Consisting of a purse-string suture in the skin and a tension device, it provides enough pressure to keep the site from bleeding while allowing the physician to check the site periodically without having to cut and tie a knot. | ||
| Line 12: | Line 10: | ||
*If you release it prematurely, you will most likely have an immediate bleeding situation on your hands. | *If you release it prematurely, you will most likely have an immediate bleeding situation on your hands. | ||
*It does not have to be dressed, but it is best to secure it from being pulled. | *It does not have to be dressed, but it is best to secure it from being pulled. | ||
*It should be left in place no more than 24 hours. Please contact procedure physician! | *It should be left in place no more than 24 hours. Please contact procedure physician! | ||
| Line 20: | Line 17: | ||
Removal of the woggle is straightforward: | Removal of the woggle is straightforward: | ||
#Open the stopcock | #Open the stopcock | ||
#Release the tension on the suture | #Release the tension on the suture | ||
Latest revision as of 18:57, 25 June 2021
About the woggle
A “Woggle“ is used to secure the skin over a large-bore venous access site after the sheath is removed. Consisting of a purse-string suture in the skin and a tension device, it provides enough pressure to keep the site from bleeding while allowing the physician to check the site periodically without having to cut and tie a knot.
If a patient comes to your unit with a woggle in place, be aware it is not a sheath!
- It does not penetrate the skin
- If you release it prematurely, you will most likely have an immediate bleeding situation on your hands.
- It does not have to be dressed, but it is best to secure it from being pulled.
- It should be left in place no more than 24 hours. Please contact procedure physician!
The procedure physician is aware of the woggle, and will deal with it personally. Under certain circumstances, a nurse may be directed to remove the woggle.
Removing a woggle
Removal of the woggle is straightforward:
- Open the stopcock
- Release the tension on the suture
- Observe for bleeding for 5-10 minutes
- Disinfect the skin and suture (Chlorohexidine/Betadine)
- If there is no bleeding, remove the tension device
- Gently pull suture from skin
- If bleeding occurs re-tension the suture, lock the stopcock, and inform the physician.
