Paraplegia after thoracic aortic aneurysm surgery: critical care nurses’ role in assessment, detection, and prevention

Authors

  • Naruebeth Koson Cardiovascular and Thoracic Intensive Care Unit, Suratthani Hospital
  • Nipaporn Juntratip Cardiovascular and Thoracic Intensive Care Unit, Suratthani Hospital
  • Piyatida Borvornsudhasin Cardiovascular and Thoracic Intensive Care Unit, Suratthani Hospital

Keywords:

thoracic aortic aneurysm surgery, paraplegia, roles of critical nurse, assessment, detection, prevention

Abstract

Paraplegia from spinal cord injury is one of the most emergent and devastating neurological complications in patients after thoracic aortic aneurysm surgery. The pathology of paraplegia may occur in pre, intra, and post-surgery caused by risk factors including patient risk, surgical factor, clinical factor requiring immediate treatment. Without timely management, it may lead to death, disability, lower levels of life satisfaction, and burden on their family members. Nurses are health care providers who play an important role in assessing and monitoring patients closely to detect signs and symptoms of paraplegia and early detect them to reduce further complications. The aim of this article is to reveal that critical care nurses should focus on assessing and monitoring continuously for early detection of neurological complications, from admission to discharge or transfer out of an intensive care unit. Nurses need to have knowledge and competent skills to assess and detect paraplegia related to thoracic aortic aneurysm surgery effectively and apply knowledge for prevention and care in the context of their settings appropriately.

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Published

2022-03-12

Issue

Section

Academic Articles