0.05), but the trachea cannula duration and residence time in ICU were significantly shorter in study group (10.36?3.14h and 36.47?6.25h, respectively) compared with those in control group (15.72?2.23h and 56.12?7.31h, respectively) (P

Objective This study described our experience on perioperative nursing care for hybrid revascularization by endoscopic robotic coronary artery bypass on the beating heart with percutaneous coronary intervention ( PCI) in a staged approach .Methods Patients undergoing hybrid coronary revascularization from January 2007 to September 2013 were included in the study .The progressive patient care was different compared with conventional coronary artery bypass graft surgery ( CABG ) , so the health education and specific nursing were of great importance in different phases .The preoperative angina pectoris attacks therapy and pulmonary function training were necessary , and the hemodynamic monitoring , hemorrhage volume record , lung caring, pain therapy and anticoagulation after robotic assisted CABG were also important .At the same time, the intensive anticoagulation before PCI and renal injury , arterial hemorrhage prevention after PCI needed much attention.Results There was no death patients during the study phase . After the hybrid coronary revascularization, patients were stable and no severe complication was occurred .After 2 days of surgery, patients could take a walk at bedside .The mean time of ICU stay was (37.8 ±5.6) hours.After PCI, no bypass vascular stenosis occurred .Conclusions The comprehensive perioperative nursing care is necessary for patients received hybrid coronary revascularization surgery .

Objective To explore the effects of automatic and intelligent micro pump in changing vasoactive agents. Methods This research selected 60 patients with a great number of vasoactive agents (dopamine or adrenalin hydrochloride) after cardiac surgery of Cardiovascular Surgery in Chinese PLA General Hospital from April to November 2016. Those patients were divided into experimental group (n=30, changing agents with the automatic and intelligent micro pump) and control group (n=30, changing agents with the traditional method of dual pump). The fluctuation of blood pressure (BP) of patients between two groups was compared before and after changing agents. Results There was no significant difference in BP of both group patients before changing vasoactive agents (P> 0.05). The mean BP of patients in the control group was significantly higher than that in the experimental group 30 seconds after changing vasoactive agents (P=0.011). The degree of fluctuation of BP of patients in the control group was greater than that in the experimental group 30 seconds and one minute after changing agents with a significant difference (P<0.05). Conclusions The automatic and intelligent micro pump has a big advantage in maintaining a stable BP during changing agents by pump. It is worth to be used widely in clinical application.