Nursing care of children on ECMO due to sepsis shock and complicated with fulminant myocarditis:a report of 3 cases
10.3969/j.issn.1671-8283.2024.04.009
- VernacularTitle:3例应用ECMO联合连续性肾脏替代疗法救治脓毒症合并爆发性心肌炎患儿的护理
- Author:
Ruihua DONG
1
;
Yuanqing LIANG
;
Jiao LI
;
Lanhua BAO
;
Bin LI
Author Information
1. 昆明市儿童医院儿科监护室,云南昆明,650200
- Keywords:
ECMO;
continuous renal replacement therapy;
sepsis;
fulminant myocarditis;
children;
nursing
- From:
Modern Clinical Nursing
2024;23(4):54-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarise a clinical experience of nursing care for 3 children who were treated with ECMO for sepsis and complicated with fulminant myocarditis.Methods Clinical data in nursing cares for 3 children treated with ECMO for sepsis and complicated with fulminant myocarditis were collected and analysed,with the spotted difficulties in nursing care and proposed coping strategies.Results The 3 children survived and were transferred out of the(pediatric intensive care unit,PICU)with stable vital signs and haemodynamics after emergency treatment with ECMO and continuous renal replacement therapy(CRRT).Conclusion Children with sepsis leading to myocardial depression and subsequent heart failure require close observation of the changes and consequently specialised cares after having initiated an ECMO in emergency treatment.This includes ensuring proper fixation of the cannulas,managing anticoagulation,monitoring the speed,flow rate and pressure of ECMO,management of body temperature,skin care,sedation and pain,as well as prevention of complications.These nursing care measures would improve the survival rate after the treatment of ECMO.
