Perioperative Nursing Care for Patients undergoing Intracerebral aneurysm clipping under General anesthesia
Keywords:
Nursing care, Patients with Cerebral Aneurysm, Aneurysm Clipping SurgeryAbstract
This study aimed to 1) analyze problems of patients with cerebral aneurysm undergoing anesthesia in aneurysm clipping surgery, 2) study and develop nursing care guideline for patients with cerebral aneurysm undergoing anesthesia in aneurysm clipping surgery. Study results revealed as follows;
- Patients with cerebral aneurysm undergoing anesthesia in aneurysm clipping surgery received nursing care in various phases, namely;
1.1 Preanesthetic phase, the problems were that 1) patients were at a high risk of surgical complications and, 2) patients had an anxiety due to a fear of anesthesia and brain surgery.
1.2 Induction and intubation phase, the problems were that 1) there might be tissue hypoxia due to prolonged intubation causing cerebral hypoxia which resulted in brain edema and, 2) hypertension might occur as a result of intubation and skull pin insertion.
1.3 Surgical anesthesia phase, the following risks were found 1) risk of vascular and nerve injuries related to positioning, 2) risk of hypovolemic shock, 3) risk of light anesthesia and consciousness during surgery, 4) risk of hypothermia from prolonged surgery in cold operating room, 5) hypokalemia.
1.4 Postanesthetic phase, the problems were that 1) patients could not wean from ventilator due to prolonged surgery and electrolyte imbalance.
- The nursing care guideline for patients with cerebral aneurysm undergoing anesthesia in aneurysm clipping surgery was consistent guideline in preanesthetic phase, Induction and intubation phase, surgical anesthesia phase and postanesthetic phase
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