Nursing care of patients with post-operative open-heart surgery undergoing cardiopulmonary bypass in critical stage: a case study
Keywords:
nursing, open heart surgery, cardiopulmonary bypassAbstract
Patients with post-operative open-heart surgery undergoing cardiopulmonary bypass require closed monitoring and care due to the high risk of severe complications after surgery. Essential nursing care includes monitoring of changes of signs and symptoms and preventing serious complications associated with CPB. Those complications are myocardial injury, altered neurological system, acute kidney injury, bleeding, limb ischemia, inflammation, and coagulation disorder resulting in prolonged hospital stay. Therefore, nurses play an important role in caring patients after heart surgery during critical period. That roles include monitoring and preventing complications from open-heart surgery, as well as complications associated with CPB machine. This article will benefit the critical care nurses who care for patients with post-operative open-heart surgery undergoing CPB. The authors present knowledge from reviewing the empirical evidence including 1) CPB components, 2) principle operation of CPB, 3) the key to achieving extracorporeal blood flow, 4) nursing care for patients undergoing heart surgery in critical period, and 5) a case study
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