Observation and nursing of IABP combined with ECMO treatment for patients with low cardiac output syndrome after cardiac surgery
10.3760/cma.j.issn.1674-2907.2013.13.015
- VernacularTitle:IABP联合ECMO辅助治疗心脏术后严重低心排综合征患者的疗效观察及护理
- Author:
Li SHI
1
;
Chun-Ying HUO
;
Jia-Lin LIU
;
Qing-Yin LI
Author Information
1. 100037,中国医学科学院北京协和医学院阜外心血管病医院外科成人术后ICU
- Keywords:
Intra-aortic balloon counter-pulsation;
Extracorporeal membrane oxygenation;
Nursing
- From:
Chinese Journal of Modern Nursing
2013;19(13):1531-1533
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the nursing experience of using intra-aortic balloon counterpulsation (IABP)and extracorporeal membrane oxygenation (ECMO) for patients with low cardiac output syndrome after cardiac surgery.Methods Fourteen patients with postoperative low cardiac output syndrome were treated with IABP and ECMO,and clinical and nursing data was retrospectively analyzed.By observing changes of the parameters of hemodynamics before and after,treatment effect was evaluated and nursing experience was summarized.Results Parameters of hemodynamics improved significantly after combined treatment [SBP:(110.8 ± 11.8) mm Hg / (76.7 ± 18.1) mm Hg; DBP:(60.3 ± 11.2) mmHg / (48.5 ±9.5) mm Hg; LVEF:(0.48 ± 0.02) mmHg / (0.30 ± 0.02)mm Hg],and the differences were statistically significant(t =-5.732,-3.449,-6.192,respectively ;P ＜ 0.05).Index of arterial blood gas also improved [pH:(7.39 ± 0.18) / (7.28 ± 0.08) ; PaO2:(132.02 ± 27.96) mm Hg / (82.71 ± 28.32) mm Hg],and the differences were statistically significant (t =-2.650,-3.690,respectively; P ＜ 0.05).Urine volume with 24 h increased from (1 254.17 ±861.19) ml to(2 588.5 ± 1 360.82) ml,and the difference was statistically significant (t =-3.419,P ＜ 0.05).9 patients were discharged from hospital smoothly.Conclusions IABP combined with ECMO treatment provides an effective option to rescuer patients with low cardiac output syndrome after cardiac operation.Strict monitoring and in-time adjustment of nursing methods are important steps during nursing process.
