Nursing care of a patient before operation with mechanical circulation-assisted bridging heart transplantation
10.3761/j.issn.0254-1769.2024.09.013
- VernacularTitle:1例行机械循环辅助桥接心脏移植患者的术前护理
- Author:
Xuqin LI
1
;
Jiehui FENG
;
Fangfang HUANG
;
Chao YU
;
Shiyu LIANG
;
Xiao WANG
;
Xufang LI
;
Han ZHU
Author Information
1. 311100 杭州市,浙江大学医学院附属第一医院综合监护室
- Keywords:
Acute Myocardial Infarction;
Cardiogenic Shock;
Mechanical Circulatory Support;
Heart Trans-plantation;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(9):1114-1118
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing care of a patient with acute myocardial infarction complicated with cardiogenic shock before operation.The main nursing points are as follows:in the acute stage,the integrated rescue was implemented with rapid on-machine coordination of external cardiopulmonary resuscitation,multidisciplinary collaboration to ensure safe patient transport;during the bridging period,the combined operation care of extracorporeal membrane oxygenation,intra-aortic balloon counter pulsation and continuous kidney replacement therapy was carried out with goal-oriented anticoagulation care,prevention of catheter-related infection with the assistance of mechanical circulation,and neurological function monitoring.The patient successfully passed the waiting period for heart transplantation and underwent heart transplantation 21 days after admission.With the follow-up for 1 year,the patient recovered well.
