Dillon M L, Jones R G, Shawl F
Washington Adventist Hospital, Takoma Park, MD 20912.
Heart Lung. 1992 May;21(3):228-34.
Information is presented about a relatively new procedure being used in the critical care area. The percutaneous insertion technique for the initiation of cardiopulmonary bypass support (PCPS) has given new hope for patients who are considered high risk for elective coronary angioplasty and to those who suffer cardiopulmonary arrest in the cardiac catheterization laboratory or critical care unit. The initiation process of cardiopulmonary bypass support and the criteria for elective cases are reviewed and two case studies follow. Specific attention is given to the immediate postprocedural phase, where nursing responsibilities and prioritization of patient care are addressed. A nursing care guide is included.
本文介绍了一种在重症监护领域使用的相对较新的手术方法。用于启动体外循环支持(PCPS)的经皮插入技术,为那些被认为择期冠状动脉成形术高风险的患者以及那些在心脏导管实验室或重症监护病房发生心肺骤停的患者带来了新的希望。回顾了体外循环支持的启动过程和择期病例的标准,并随后进行了两个案例研究。特别关注术后即刻阶段,其中涉及护理职责和患者护理的优先级。还包括一份护理指南。