Vỏ được rút ra và áp lực áp dụng trên tàu bằng tay. Ngay như tất cả các màng bọc, màn cửa trên bệnh nhân được loại bỏ hoàn toàn để vùng bụng dưới và các khu vực tiếp giáp với toàn bộ vùng bẹn đùi trên có thể nhìn thấy. | CHAPTER 18 Coarctation dilation completely. The sheath is withdrawn and pressure applied over the vessel manually. As soon as all the sheaths are out the drapes over the patient are removed completely so that the lower abdomen and upper thigh areas adjacent to the entire inguinal area are visible. While holding pressure over the arterial puncture site with the fingers of one hand a pulse distal to the puncture site dorsalis pedis or posterior tibial is palpated with the fingers of the other hand. The amount of pressure applied over the arterial puncture site is varied or titrated so that just enough pressure is applied to prevent bleeding or a subcutaneous hematoma formation while at the same time allowing the palpation of a peripheral pulse continually. In larger or heavier patients it is better to apply pressure over the arterial site with a firm roll of 4x 4s sincache exact site of arterial puncture deep within thick subcutaneous tissues does not correspond at ah to the nite of the skin puncture and oubtoquent pres-ture. The peecsuee loom the eoll of dandage coven e w-tasothetissuee cud -smorel-hhlp-a aontuoi Peepbieediho from the mdn oseoefotmonitorfee hs poise is ueed while pteasoretseppliedwiShfheSSroSlii oteondape. Insd dittontothe cate pfthe lencl pune-uteoitePi-here patient. ate mooiiteted lostemkalld ueru clacoly in e nnrnvepo aeeaforaHeost s ho elDoiitii-ttPsot t -ttonpeoiodlthcytPoulP havea cpcal emttaveaohslido and le salveelpghmall eli ince iptuslonof Mn-snai pohne oe eaintor s idchith TOh introvhdouo fluiha ere cìp- r hed OTtwi loì nU í . i u eo Oono1oU ait i íití uPlf e aon-at ih of the aorta usualip Pss diurored dating thi poouednru isnmbotP the contest agnolr tui leoor the inaroasin oena -load flow as si 001 x1 ell is ot -du rehniof oi enoi stsaaout bsy tre mbeind NPO inoapro lepoadperíoq dieimePeforethe he Chmhdtation oOthecbSooto rs rtrultc io a herysigmticont .
