Nursing practice in patients with extracorporeal membrane oxygenation therapy waiting for lung transplantation
10.3760/cma.j.issn.1674-2907.2019.08.023
- VernacularTitle:应用体外膜肺氧合治疗待肺移植术患者的护理实践
- Author:
Xiaoxia YAN
1
;
Yanjun MAO
;
Huanhuan SHI
;
Yanmin TANG
;
Junrong DING
Author Information
1. 上海市肺科医院胸外科 200433
- Keywords:
Lung transplantation;
Extracorporeal membrane oxygenation;
Critical patients;
Nursing experience
- From:
Chinese Journal of Modern Nursing
2019;25(8):1019-1022
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To summarize the nursing experience for extracorporeal membrane oxygenation therapy (ECMO) waiting for lung transplantation. Methods? Totally 4 patients waiting for lung transplantation who received ECMO in Shanghai Lung Hospital from May 2017 to June 2018. Nursing management strategies included: building a multidisciplinary medical and nursing team, using "awake" ECMO strategies in early stages, employing high flow nasal cannulae oxygen therapy to improve oxygenation, monitoring coagulation and anticoagulation, and careful in-hospital transfer process management. Results? After careful therapy and nursing care, 3 patients were safely transferred to the operation room for lung transplantation, and 1 died. Conclusions? Careful nursing management during ECMO can improve the survival rate of critical patients and guarantee successful lung transplantation and better prognosis.
