ORIGINAL ARTICLE   

Minerva Pediatrica 2020 June;72(3):170-4

DOI: 10.23736/S0026-4946.18.04411-0

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Clinical analysis of perioperative nursing of aortic coarctation

Yuan FAN, Chuanyu CUI, Shiyong GUO ✉, Chong ZHANG

Department of Cardiothoracic Surgery, Xuzhou Children’s Hospital, Xuzhou Medical University, Xuzhou, China

BACKGROUND: The aim of this study is to explore the treatment experience of the perioperative nursing of coarctation of the aorta.
METHODS: From June 2012 to December 2013, a total of 15 children diagnosed with coarctation of the aorta were retrospectively studied and sorted into the observation group in our hospital. Also, 12 children admitted between January 2010 and December 2012 was sorted into control group. Combined intravenous anesthesia and cardiopulmonary bypass were conducted on all the children. Children in observation group underwent perioperative nursing, including preoperative nursing (evaluating disease conditions, improving preoperative preparation and preoperative discussion) and postoperative nursing (transferred into ICU, respiratory management, circulation system management, nutrition support nursing, using intravenous drugs). Children in the control group were treated with common nursing. Clinical effects of both groups were compared.
RESULTS: Fourteen of 15 cases in the treatment group were cured and discharged from the hospital after a 6~12-month follow-up. All patients had good prognosis, except one case quit the treatment and left hospital for obstinate low output syndrome.
CONCLUSIONS: With the improvement in the skills of a repair operation, extracorporeal circulation and monitoring as well as nursing, the restenosis incident rate and morality rate were effectively reduced. Meanwhile, taking an initiative for comprehensive prevention nursing measures during peri-operation is an important guarantee to a successful operation and prognosis.

KEY WORDS: Aortic coarctation; Perioperative nursing; Prognosis; Preoperative care; Postoperative care