How to nurse after endoscopic sinus surgery

Update Date: 2022-09-23 Source: Network

summary

Endoscopic sinus surgery (ESS) is a kind of surgery that is observed through the micro lens. Endoscopic sinus surgery has the characteristics of small trauma area, good curative effect, low complications and low risk. Let's talk about how to care after an operation.

How to nurse after endoscopic sinus surgery

First: after general surgery, we give first-class nursing, half sitting position for 6 hours (patients are conducive to spitting out blood in the mouth), cold compress on the forehead for 4 hours, temporary diet, and continuous low flow oxygen inhalation for 6 hours to monitor vital signs. We often use disposable catheter to fill the posterior nostril, and fix the other end around the ear outside the nose at the mastoid, which can effectively prevent the recurrence of posterior nostril Oozing blood.

Second: after the anterior nostril is filled with vaseline gauze, we need to fix gauze on the upper lip (24x32cm is made into a small dressing block, which completely infiltrates the blood is 6ml, which has been tested), so as to estimate the amount of bleeding and prevent blood from polluting the quilt cover and bed sheet. According to the situation, we need to give 2000-3000 rehydration (more in summer), and routinely give cimetidine 0,4 intravenous push after the operation.

Third: closely observe the changes of the disease, the first potential complication after nasal endoscopic surgery is the most worried of medical staff, so we should strengthen the inspection of the ward after the surgery, carefully observe and record the changes of blood pressure and pulse, a small amount of bleeding in the nasal cavity after the surgery is a normal phenomenon, if the patient has a large amount of bleeding in the nasal cavity, and a large amount of blood flows out from the nose or mouth, we should immediately inform the doctor to help give hemostatic measures.

matters needing attention

It can be seen that although endoscopic surgery is a small operation, but in the process of operation should also pay attention to prevent intranasal bleeding. In the process of nursing should be observed and recorded. Patients should maintain a trust attitude towards the operation and cooperate with the work of medical and nursing staff.