Nursing cooperation for mitral valve replacement surgery plus concomitant atrial fibrillation radiofrequency ablation
10.3760/cma.j.issn.1674-2907.2012.30.011
- VernacularTitle:二尖瓣置换术中同期行房颤射频消融术的护理配合
- Author:
Shu-Gui ZHAN
1
;
Xin LIN
Author Information
1. 100037,中国医学科学院北京协和医学院国家心血管病中心心血管疾病国家重点实验室 阜外心血管病医院手术室
- Keywords:
Intraoperative care;
Open-heart surgery;
Radiofrequency ablation
- From:
Chinese Journal of Modern Nursing
2012;18(30):3629-3631
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the nursing cooperation methods in mitral valve replacement surgery plus concomitant atrial fibrillation radiofrequency ablation.Methods From January to June 2011,the Cox/maze Ⅲ procedure plus mitral valve replacement were performed under general anesthesia and cardiopulmonary bypass in 118 patients.Results Cardiopulmonary bypass time was (118 ± 45) minutes,radiofrequency time was (21 ± 7) minutes,cross clamp time was (81 ± 35) minutes.Five patients implanted permanent pace maker for complete atrioventricular block postoperatively,one renal failure and one death postoperative.Holter showed that 68 patients were recovery to sinus rhythm in hospital.Conclusions The instrument nurses should be familiar with the whole operative procure and cooperate effectively and actively during the operation.The circuit nurses should prepare all the special instruments including cell saver machine,temporary pace maker,transesophageal echocardiography and radiofrequency ablation machine,and understand these instruments' operating methods and cautions.Furthermore,the preoperative psychological nursing,enough venous channels,appropriate position and bedsore prevention are all the key points for nursing cooperation.
