Application of specialized nursing care-led MDT model in early-stage ICU hyperbaric oxygen treatment after aortic dissection surgery
10.3760/cma.j.cn311847-20210809-00228
- VernacularTitle:专科护理主导的多学科协作模式在主动脉夹层术后早期ICU高压氧救治中的应用
- Author:
Chaoqun TU
1
;
Jun LI
;
Xu CHEN
;
Biru ZENG
;
Liuli ZHANG
;
Wenqing CHEN
;
Wenhao CHEN
;
Ying LONG
Author Information
1. 深圳市人民医院高压氧科，深圳 518020
- Publication Type:Journal Article
- Keywords:
Aortic dissection;
ICU;
Hyperbaric oxygen;
Multi-disciplinary team model;
Brain complications
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2022;29(3):345-349
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of applying the multi-disciplinary team（MDT）model led by specialized nursing care in the treatment carried out at early stage in intensive care unit of hyperbaric oxygen（ICU-HBO）for patients with brain complications after Stanford type A aortic dissection（AD）surgery.Method:From January 2018 to December 2020，a total of 18 patients with brain complications after AD surgery were included and treated by ICU-HBO with MDT model. The patients’ ventilator tolerance and weaning time，outcome，occurrence of adverse events，and satisfaction rate of nursing care were observed.Results:（1）Fifteen mechanically ventilated patients were successfully weaned off the machine after 1-5 times of ICU-HBO treatment.（2）Sixteen patients regained their consciousness to the normal level after 2-13 times of ICU-HBO treatments，with the total effective rate of 88.89%；two patients in persistent vegetative state（deep coma）discontinued the treatment after two times of ICU-HBO treatments as their family gave up. During the follow-up period of six months to two years，11 cases were found clinically cured，one case was considered effective，four cases lost contact，and the two cases that had gave up treatment died of complications.（3）No adverse medical event（related to safety）occurred during the ICU-HBO treatment.（4）The satisfaction rate of nursing care was 100%.Conclusion:In the early ICU-HBO treatment of patients with brain complications after Stanford type A AD surgery，the application of MDT mode led by specialized nursing care is beneficial to the treatment risk control，ensure the treatment effectiveness，and improve the long-term prognosis，and quality of life of AD patients.
