Perioperative nursing of patients undergoing hybrid coronary revascularization
10.3760/j.issn.1674-2907.2014.24.020
- VernacularTitle:机器人冠脉杂交手术围手术期护理
- Author:
Yanqiong DING
1
;
Cuijuan ZHANG
;
Jincha FENG
;
Na LI
;
Jie ZHANG
;
Wenbin KANG
Author Information
1. 100853 北京，解放军总医院心血管外科
- Keywords:
Coronary artery bypass graft,extracorporeal circulation;
Robot;
Support;
Hybrid;
Perioperative nursing
- From:
Chinese Journal of Modern Nursing
2014;20(24):3066-3069
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study described our experience on perioperative nursing care for hybrid revascularization by endoscopic robotic coronary artery bypass on the beating heart with percutaneous coronary intervention ( PCI) in a staged approach .Methods Patients undergoing hybrid coronary revascularization from January 2007 to September 2013 were included in the study .The progressive patient care was different compared with conventional coronary artery bypass graft surgery ( CABG ) , so the health education and specific nursing were of great importance in different phases .The preoperative angina pectoris attacks therapy and pulmonary function training were necessary , and the hemodynamic monitoring , hemorrhage volume record , lung caring, pain therapy and anticoagulation after robotic assisted CABG were also important .At the same time, the intensive anticoagulation before PCI and renal injury , arterial hemorrhage prevention after PCI needed much attention.Results There was no death patients during the study phase . After the hybrid coronary revascularization, patients were stable and no severe complication was occurred .After 2 days of surgery, patients could take a walk at bedside .The mean time of ICU stay was (37.8 ±5.6) hours.After PCI, no bypass vascular stenosis occurred .Conclusions The comprehensive perioperative nursing care is necessary for patients received hybrid coronary revascularization surgery .
