Nursing care of a patient with postpartum cardiomyopathy treated by ECMO combined with CRRT, IABP and prone position ventilation
10.3760/cma.j.issn.1672-7088.2020.03.011
- VernacularTitle: 一例体外膜肺氧合联合应用连续肾脏替代疗法、主动脉球囊反搏及俯卧位通气救治产后心肌病患者的护理
- Author:
Yanni ZHANG
1
;
Zhen LI
1
;
Mingxi ZHAO
1
;
Qi LI
1
;
Zunzhu LI
1
;
Jianhua SUN
1
;
Hongbo LUO
1
Author Information
1. Department of Critical Care Medicine, Peking Union Medical College Hospital, Beijing 100730, China
- Publication Type:Clinical Trail
- Keywords:
Cardiomyopathies;
Perinatology;
Extracorporeal membrane oxygenation;
Critical care nursing
- From:
Chinese Journal of Practical Nursing
2020;36(3):215-219
- CountryChina
- Language:Chinese
-
Abstract:
Objective:We reported nursing care of a patient with postpartum cardiomyopathy treated by extracorporeal membrane oxygenation (ECMO) combined with intra-aortic balloon pump (IABP), continuous renal replacement therapy (CRRT) and prone position ventilation.
Methods:Multidisciplinary cooperation was made to guide the monitor of patients' condition. Refined integrated management measures of multi-equipment were adopted and standardized management process was formulated. Strict requirements were made in treatment and nursing care to prevent hospitalized infection, humanistic care and rehabilitation exercise were conducted to improve patient′s quality of life.
Results:After 47 days of nursing care, the patient′s vital signs were stable, the condition was improved and then discharged.
Conclusions:Close observation under the guidance of multiple disciplines is an important prerequisite for the treatment. Integrative management of multi-equipment, strict control of hospitalized infection, humanistic care and rehabilitation exercise can effectively improve the prognosis and quality of life of perinatal cardiomyopathy patient.
