How to care for patients undergoing extracorporeal circulation

Update Date: 2021-05-16 Source: Network

summary

Extracorporeal circulation (CPB) is a kind of special artificial device, which is used to drain the arterial blood from the human body to the outside of the body, and then through a series of operations such as artificial gas exchange, etc. to achieve CPB. Let's talk about the routine nursing of extracorporeal circulation.

How to care for patients undergoing extracorporeal circulation

First: preoperative nursing: according to the routine nursing of cardiothoracic surgery. Do a good job of psychological nursing, eliminate the ideological concerns of patients, so that patients are in the best state of accepting surgery. Preoperative cold should be prevented and activities should be restricted. Height and weight were measured before operation. Guide patients to eat more high calorie, high protein, high vitamin rich food, enhance body resistance.

Second: postoperative nursing: according to cardiothoracic surgery postoperative general nursing routine nursing. The patients were placed in the intensive care unit to strengthen nursing, and the patients were placed in the slope position. Immediately connect the ventilator, ECG monitor, invasive arterial blood pressure monitoring, central venous pressure and pulmonary artery pressure monitoring; connect the chest guide bottle, catheter, pacing lead and Anal temperature probe to keep the monitoring in good working condition.

Third: learn from anesthesiologists and surgeons about the intraoperative situation, if there is any accident, how to deal with it, intraoperative volume (including colloid and crystal), blood transfusion volume, urine volume, electrolyte balance, blood gas analysis and heparin neutralization, etc., and the current usage and dosage of special drugs.

matters needing attention

Patients in the treatment of extracorporeal circulation after this method of care for patients is also crucial. And with the development of science and technology, the scope of application of cardiopulmonary bypass is constantly expanding, many diseases are used in cardiopulmonary bypass.