Postoperative Atrial Fibrillation: Nursing Care
Keywords:
postoperative atrial fibrillation, assessment, care, nursingAbstract
Post-surgery cardiac arrhythmias are a common complication after surgery; they can be found in 2 - 10% of general surgery patients. Thoracic resection was found in 15 - 30% of cases after a coronary artery bypass graft (CABG), 30 - 50% of cases after Isolate value surgery, and 40 - 60% of cases of combined CABG with valve surgery. In 17% of cases of thoracic aortic surgery, the arrhythmia occurred due to injury to the heart muscle wall, causing a risk of unstable circulatory problems (hemodynamic unstable), reduced efficiency of cardiac contraction, and risk of neurological complications. Risks such as acute ischemic stroke from thromboembolism (stroke) are factors associated with the occurrence of trembling-type arrhythmias. These factors include both patient factors and factors related to treatment and surgery. As a result, patients are required to stay in the hospital longer. Since this condition leads to a greater incidence of stroke and a higher death rate, nurses play a vital role in surveillance by assessing and preventing future complications; therefore, nurses should possess the requisite knowledge and nursing skill for patients with postoperative ventricular arrhythmias to plan the nursing process for caring for this group of patients so that they can experience a good quality of life after surgery.
References
Yulthasan S, Chintapanyakun T, Thikheaw K. Nursing care of patients with open heart surgery in critical period : reseach utilization to chanical practce. Journal of The Police Nurses 2021;13(2):453-63. (in Thai)
Siriratwarangkul S. Complications after open heart surgery at Suratthani. Thai J Anesthesiol 2020;46(1):7-14.
Lin M-H, Kamel H, Singer DE, Wa Y-L, Lee M, Ovbiagele B. Perioperative/postoperation. atrial Fibrillation and risk of subsequent stroke and/or mortality : a meta analysis. Stroke 2019;50(6):1364-71.
Dave S, Nirgude A, Gujjar P, Sharma R. Incidence and risk factors for development of atrial fibrillation after cardiac surgery under cardiopulmonary bypass. Indian J Anaesth 2018;62(11):887-91.
Chebbout R, Heywood EG, Drake TM, Wild JRL, Lee J, Wilson M, et al. A systemic review of the incidence of and risk factors for postoperative atrial fibrillation following general surgery. Anesthesia 2018;73(4):490-8.
Arakawa M, Miyata H, Uchida N, Motomura N, Katayama A, Tamura K, et al. Postoperative atrial fibrillation after thoracic aortic surgery. Ann Thorac Surg 2015;99(1):103-8.
Lowres N, Mulcahy G, Jin K, Gallagher R, Neubeck L, Freedman B, Incidence of postoperative atrial fibrillation recurrence in patients discharged in sinus rhythm after cardiac surgery: a systemic review and meta-analysis. Interact Cardiovasc Thorac Surg 2018;26(3):504-11.
Taiwong A, Sanchan M, Talerd W, Somporn S, Peangial R. Supraventricular tachycardia (SVT): nurses role, s in assessment and care. Mahasarakham Hospital Journal 2018; 15(2):206-13. (in Thai)
Anderson EJ, Efird JT, Kiser AC, Crane PB, O, Neal WT, Ferquson TB, et al. Plasma catecholamine levels on the morning of surgery predict post-operative atrial fibrillation. JACC Clin Electrophysiol 2017;3(12):1456-65.
Muhammad Ali S, Shaikh N, Shahid F, Shah A, Zafar HB. Hypokalemia leading to postoperative critical arrhythmias: case reports and literature review. Cureus 2020;12(5):e8149. doi: 10.7759/cureus.8149.
Ravn Jacobsen M, Jabbari R, Glinge C, Kjaer Stampe N, Butt JH, Blanche P, et al. Potassium disturbances and risk of ventricular fibrillation among patients with ST-Segment-Elevation Myocardial Infarction. J Am Heart Assoc 2020;9(4):e014160. doi: 10.1161/JAHA.119.014160.
Crawford TC. Low serum magnesium and the development of AFib in the community [Internet]. 2013 [cited 2022 Dec 25]. Available from: https://www.acc.org/latest-in-cardiology/articles/2014/07/18/17/21/low-serum-magnesium-and-the-development-of-afib-in-the-community
Sittisuk S. Practice guidelines for management patients with Atrial Fibrillation (AF) in Thailand. Bangkok: The Heart Association of Thailand under the Royal Patronage; 2012. (in Thai)
Bundasak T, Thiankumsri K, Sittisongkarm S. Atrial fibrillation. J Prapokklao Hosp Clin Med Educat Center 2017;34(4):341-49. (in Thai)
Thongma P. Predicting factors on at atrial fibrillation among patients undergoing open heart surgery [Thesis]. Bangkok: Mahidol University; 1970. (in Thai)
Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JI, Blomstrom-Lundqvist C, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association of Cardio-Thoracic Surgery (EACTS): the task force for the diagonosis and management of atrial fibrillation of the European Society of Cardiology (ESC) devoloped with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J 2021;42(5):373-498. doi: 10.1093/eurheartj/ehaa612.
January CT, Wann LS, Alpert JS, Calkins H, Cigarroa JE, Cleveland JC, et al. 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology / American Heart Association Task Force on practice guideline and the Heart Rhythm Society. J Am Coll Cardiol 2014;64(21):e1-76.
Durongrithichai W, Watanadachakunl N, Piupong R, Mongkolrungrueang S. The Clinical nursing practice guideline for patients with coronary artery bypass grafting: research synthesis for application. HCU Journal of Health Science 2016;20(39):143-55. (in Thai)
Sornpirom S. Nursing care of critically ill patients after cardiovascular surgery. Srinagarind Med J 2016;31(Suppl):46-52. (in Thai)
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