Perioperative care of a patient implanted left ventricular assist device combined with cryoablation
10.3761/j.issn.0254-1769.2024.22.015
- VernacularTitle:1例行左心室辅助装置植入联合冷冻消融术患者的护理
- Author:
Si PENG
1
;
Xia ZHANG
;
Lin ZHOU
;
Shuangshuang LIU
;
Xinmin ZHOU
;
Jianming LI
Author Information
1. 410000 长沙市 中南大学湘雅二医院临床护理学教研室
- Keywords:
End-Stage Heart Failure;
Ventricular Arrhythmia;
Left Ventricular Assist Device;
Cryoablation;
Nursing Care
- From:
Chinese Journal of Nursing
2024;59(22):2785-2789
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the nursing experience of a patient with cardiac resynchronization therapy defibrillator(CRT-D)implantation who was about to deplete battery due to repeated discharge after implantation and underwent left ventricular assist device implantation combined with cryoablation.Key points of care were as follows.To begin with,we actively managed arrhythmias and electric storm.Secondly,we carried refined capacity management to avoid water and sodium retention.Thirdly,we formulated personalized anticoagulation programs to reduce the risk of bleeding and thrombosis.Then,the pump line infection should be prevented as early as possible.At the whole stage,we provided psychological counseling to improve emotional state.After discharge,regular follow-up was carried out through online and offline method to ensure quality of life in the long term.After careful treatment and nursing care,23 days after surgery,the patient was discharged smoothly,and good follow-up after discharge.
