Mamaril Myrna Eileen, Childs Sharon G, Sortman Suzanne
Perianesthesia Services, University of Colorado Hospital, Denver, USA.
J Perianesth Nurs. 2007 Jun;22(3):184-94. doi: 10.1016/j.jopan.2007.03.008.
The perianesthesia nursing care of the orthopaedic trauma patient focuses on injuries of the musculoskeletal system and the associated muscles, ligaments, tendons, and joints. Multitrauma patients often sustain more than one musculoskeletal injury at the time of the traumatic event. Early stabilization, astute nursing assessments, and interventions are imperative to the patient's functional outcome and rehabilitation. Knowing the mechanism of injury is essential to understanding and caring for musculoskeletal trauma injuries. Because patients with traumatic orthopaedic injuries are at a higher risk for wound infections, it is important for perianesthesia nurses to initiate careful infection control practices. Recognizing significant orthopaedic trauma complications that include compartment syndrome, fat embolism syndrome, and hypovolemic shock is vital for saving the life or limb of the patient.
骨科创伤患者的麻醉后护理主要关注肌肉骨骼系统以及相关肌肉、韧带、肌腱和关节的损伤。多发伤患者在创伤事件发生时往往会遭受不止一处肌肉骨骼损伤。早期稳定、敏锐的护理评估和干预对于患者的功能恢复和康复至关重要。了解损伤机制对于理解和护理肌肉骨骼创伤损伤至关重要。由于骨科创伤患者发生伤口感染的风险较高，麻醉后护理护士开展仔细的感染控制措施非常重要。识别包括骨筋膜室综合征、脂肪栓塞综合征和低血容量性休克在内的重大骨科创伤并发症对于挽救患者的生命或肢体至关重要。
