Effect of TR Band™ radial artery compression device—screw and air types on bleeding severity after radial arterial line removal in open-heart surgery: A randomized controlled clinical trial

Background: A safe and dependable operation that is frequently carried out in the intensive care unit and cardiac operating room is percutaneous radial arterial line cannulation. In critically ill or surgical patients, it directs fluid management and offers continuous blood pressure monitoring and blood collection for artery bypass grafting analysis. After radial line removal, there are serious consequences. China uses the TR Band™, invented by Terumo in Japan, for radial artery hemostasis following transradial surgeries. The purpose of this study was to assess how the screw and air varieties of the TR Band™ radial artery compression device affected the degree of bleeding in patients undergoing open-heart surgery following the removal of their radial artery lines. Materials and Methods: After radial arterial line removal, 97 patients undergoing open-heart surgery were divided into three groups for the study: 35 were placed in the control group (10–15 min of manual pressure or bandage), 29 were placed in the TR Band™ screw type group (4–5 min of mechanical compression), and 33 were placed in the TR Band™ air type group (5–6 min of pneumatic pressure). The Validated Intraoperative Bleeding Scale and a Patient Identification Form (which includes clinical and demographic information) were used in a researcher-administered technique to gather data. “Early complications” were defined as local vascular issues following the removal of a radial artery line. Hemostasis times and access-site issues were noted, and the extent of the bleeding was evaluated right after the procedure. Results: In terms of hemostasis following radial arterial line removal in patients undergoing open-heart surgery, the study demonstrated no discernible difference in efficacy between the TR Band™ compression device-screw type and the TR Band™ compression device-air type. When it came to bleeding severity, the screw-type device and the air-type device had the same mean rank of M.W.U. =31.03 and 31.91, respectively. A P = 0.846 > 0.05 showed that there was no significant difference, suggesting that both devices were effective in lowering bleeding severity. Conclusions: The TR Band™ radial artery compression device, both screw and air types, effectively lowers the chances of bleeding after the radial arterial line is taken out during open-heart surgery and is recommended for use by nurses.