Perioperative respiratory care in 27 severely obese patients with type A aortic dissection
10.3761/j.issn.0254-1769.2024.15.015
- VernacularTitle:27例A型主动脉夹层重度肥胖患者围手术期呼吸道的护理
- Author:
Jian TAO
1
;
Liming LEI
;
Yamin SONG
Author Information
1. 510080 广州市 南方医科大学附属广东省人民医院(广东省医学科学院)广东省心血管病研究所心外重症监护科
- Keywords:
Aortic Dissection;
Obesity;
Airway;
Hypoxemia;
Perioperative Nursing
- From:
Chinese Journal of Nursing
2024;59(15):1895-1899
- CountryChina
- Language:Chinese
-
Abstract:
To summarize the perioperative nursing of respiratory care in 27 severely obese patients with acute type A aortic dissection.The mainly nursing points are as follows:active intervention for obesity hypoventilation syndrome and obstructive sleep apnea syndrome were conducted preoperatively,and a transient increase in intrathoracic and abdominal pressure were avoided.Intraoperative emergency care coordination for difficult airway was enhanced,and intensive lung function protection measures were implemented.Postoperative postural management was optimized;lung diaphragm protective strategies were carried out;progressive invasive-non-invasive step-down therapy was conducted to enhance ventilator endurance;lung infection surveillance was strengthened;early rehabilitation and psychological counselling were implemented.After careful treatment and nursing care,26 cases were cured and discharged from the hospital,and a case with difficulty in extrication was transferred to the respiratory rehabilitation hospital under tracheotomy.
