Coombs M
Intensive Crit Care Nurs. 1993 Mar;9(1):17-23. doi: 10.1016/0964-3397(93)90005-i.
The last decade has witnessed phenomenal advances in the therapies available for critically ill patients, especially for those patients in circulatory failure. This paper presents an overview of mechanical assist devices, focusing on the use of ventricular assist for the failing heart. From a basic review of cardiac failure, the principles of ventricular assist and the indications for its use are examined. After reviewing the ventricular assist devices currently available, the discussion moves to the expert nursing skills required by a patient receiving ventricular assist therapy. All aspects of clinical practice are discussed, with particular emphasis on the full use of assessment skills in order to facilitate care planning and ensure safe delivery of care. These expert nursing skills are considered within the framework of collaborative care. Patients needing ventricular assist may require some of the most advanced holistic nursing skills that critical care nurses possess.
在过去十年中，危重症患者，尤其是循环衰竭患者的可用治疗方法取得了显著进展。本文概述了机械辅助装置，重点介绍了用于衰竭心脏的心室辅助装置。从对心力衰竭的基本回顾开始，探讨了心室辅助的原理及其使用指征。在回顾了目前可用的心室辅助装置后，讨论转向接受心室辅助治疗的患者所需的专业护理技能。文中讨论了临床实践的各个方面，特别强调充分运用评估技能，以促进护理计划的制定并确保安全的护理服务。这些专业护理技能是在协作护理的框架内进行考量的。需要心室辅助的患者可能需要重症护理护士所具备的一些最先进的整体护理技能。
