Emergency care for a patient with cavernous sinus fistula of internal carotid artery complicated with a "silent lung" after surgery:a case report
10.3969/j.issn.1671-8283.2024.11.013
- VernacularTitle:1例颈内动脉海绵窦瘘患者术后复苏期并发"寂静肺"的急救护理
- Author:
Jiayu TAN
1
;
Wenyan WU
1
;
Yubo KANG
1
;
Qiuyi OUYANG
1
;
Fengqiu GONG
1
;
Qiongfang ZHU
1
Author Information
1. 中山大学附属第一医院,手术麻醉中心,广东广州,510080
- Publication Type:Journal Article
- Keywords:
silent lung;
internal carotid cavernous sinus fistula;
emergency care;
recovery period;
case nursing
- From:
Modern Clinical Nursing
2024;23(11):93-98
- CountryChina
- Language:Chinese
-
Abstract:
This paper summarises the experience in an emergency care of a patient who had a "silent lung" during ventilator-assisted ventilation while in the post-anaesthesia care unit (PACU) after a surgery of cavernous sinus fistula of internal carotid artery. By reviewing nursing records,the emergency nursing interventions were summed up,incluing immediate elimination of mechanical blockage,rapid identification and diagnosis of "silent lung",urgent application of manual balloon pressurisation ventilation to resolve ventilation difficulties and symptomatic medication to relieve airway spasm. A ventilator-assisted ventilation was reinitiated to ensure unobstructed breathing after the condition of patient had been stablised. Lungs were inflated when the condition of patient allowed together without a risk of airway spasm. Then the endotracheal catheter was removed under a deep anaesthesis. After 3 hours of emergency resuscitation,the patient became stable and safely returned to the ward. The patient was discharged 11 days later and was found in good condtion over the 3 months postoperative follow-up.
