Perioperative nursing of children patients in PICU during fiberoptic bronchoscopy
10.3760/cma.j.issn.1674-2907.2013.27.046
- VernacularTitle:纤维支气管镜术在儿童重症监护病房中应用的围手术期护理
- Author:
Ling-Zhi CHEN
1
;
Hai-Li REN
;
Lei LI
;
Li-Qing ZHAO
;
Zhi-Ying TONG
;
Jian-Ying DONG
Author Information
1. 100700,北京军区总医院附属八一儿童医院PICU
- Keywords:
Intensive care unit;
Department of pediatrics;
Perioperative nursing;
Fiberoptic bronchoscopy
- From:
Chinese Journal of Modern Nursing
2013;19(27):3423-3426
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the perioperative nursing experience during the application of fiberoptic bronchoscopy in PICU,in order to improve nursing processes and advocate excellent nursing service.Methods Considering the features of children' s anatomy and physiology and severe heart and lung diseases,1088 clinical diagnosis and treatment documents of 848 children patients cured in our hospital were reviewed and analyzed so as to summarize the essentials and process of perioperative nursing.Results There were no serious complications and other adverse consequences in all of 848 children patients.77％ (651/848) children patients who were diagnosed with severe pneumonia according to the preoperative clinical symptoms and imaging were cured or got better by using lung lavage on fiberoptic bronchoscopy and others clinical treatment,the foreign bodies of 5％ (45/848) children patients were successftlly removed; and There were no any stents loss or displacement in all children patients.There were the transient decrease in heart rate,the phenomenon that SpO2 decreased to 80％ or less and facial cyanosis in 14％ (119/848) children patients when operating fiberoptic bronchoscopy,and these children patients had no serious consequences and achieved remission of symptoms after immediately exiting fiberoptic bronchoscopy by doctors under the nurses reminds who detected these abnormalities in time.Conclusions Sufficient,proper,and scientific perioperative nursing plays an important role in reducing operative risk,postoperative complications as well as reducing operation time.
