Nursing of replantation of amputated finger patients accepting brachial plexus block analgesia and patient-controlled sedation
10.3760/cma.j.issn.1672-7088.2010.03.006
- VernacularTitle:臂丛阻滞镇痛与自控镇静用于断指再植患者的护理
- Author:
Hong YUE
;
Peng XU
;
Junguang GUO
- Publication Type:Journal Article
- Keywords:
Analgesia;
Patient-conlrolled sedation;
Replantation of amputated finger;
Nursing
- From:
Chinese Journal of Practical Nursing
2010;26(7):18-19
- CountryChina
- Language:Chinese
-
Abstract:
Objective To probe into nursing management methods of replantation of amputated finger patients accepting brachial plexus block analgesia and patient-controlled sedation (PCS) after operation.Methods 48 patients of replantation of amputated fingers accept continuous brachial plexus block analgesia and PCS after operation,Analgesia was 0.2% ropivaeaine,sedation was 0.05% midazolam or compositive liquid mixed 0.05% midazolam and 0.0005% fentanyl,the visual analogue scale (VAS),sedation scores and the changes of vital signs and side effocts after operation were recorded before the operation and at time intervals of 6,12,24,48,72 hours after the operation.Results The visual analogue scale(VAS)in the post-operation was obviously lower than the pre-operation,the Ramsay scores of PCS were higher than the pro-operation.There was no inadequate or excessive sedation.No influence was seen on respiration,circulation system and no other side effects happened.Conclusions Brachial plexus block analgesia and patient-controlled sedation (PCS) can offer a good Analgesia and sedation effect for patients of amputated fingers replantation,in period of analgesia and sedation,we should strengthen nursing and monitoring of vital signs to avoid accident.
