Cuidados enfermeros en paciente pediátrico con asistencia ventricular tipo Berlin Heart Excor®: a propósito de un caso clínico

IF 1.1 Q4 NURSING

Enfermeria Clinica Pub Date : 2026-07-01 Epub Date: 2026-04-21 DOI:10.1016/j.enfcli.2026.502519

Tania Cernadas-Tubío, Tania García-López

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引用次数: 0

Abstract

Introduction

Pediatric heart transplantation is the treatment of choice for advanced heart failure. Due to the scarcity of donor organs, the use of mechanical circulatory support devices as a bridge to transplantation has increased. The Berlin Heart Excor® (BHE) is the most widely used ventricular assist device in the pediatric population.

Objective

To describe a comprehensive, family-centered nursing approach in an infant with severe heart failure who required the simultaneous use of extracorporeal membrane oxygenation (ECMO) and a BHE ventricular assist device.

Case description

A 13-month-old infant was admitted to the pediatric intensive care unit with acute myocarditis and severe biventricular dysfunction. The patient developed hemodynamic deterioration requiring ECMO support followed by left ventricular assistance with a Berlin Heart Excor®, with both devices coexisting for 2 days. After a favorable clinical course, progressive weaning from the device was initiated, and it was removed after 51 days, followed by hospital discharge.

Care plan

The nursing process was applied based on Virginia Henderson's conceptual model, using NANDA-International, Inc. (NANDA-I) taxonomy, the Nursing Outcomes Classification (NOC), and the Nursing Interventions Classification (NIC). Care focused on addressing the psychosocial needs of both the patient and their family.

Conclusions

The systematic application of the nursing process enabled the structuring of complex care and the evaluation of its effectiveness. Family-centered care proved essential for adaptation to the disease process and for the recovery of the pediatric patient.

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使用Berlin Heart Excor®型心室辅助设备的儿科护理：以临床为目的

小儿心脏移植是晚期心力衰竭的治疗选择。由于供体器官的稀缺，使用机械循环支持装置作为移植的桥梁已经增加。Berlin Heart Excor®（BHE）是儿科人群中使用最广泛的心室辅助装置。目的介绍一种以家庭为中心的综合护理方法，用于同时使用体外膜氧合（ECMO）和BHE心室辅助装置的严重心力衰竭婴儿。病例描述：一名13个月大的婴儿因急性心肌炎和严重的双心室功能障碍住进儿科重症监护室。患者出现血流动力学恶化，需要ECMO支持，然后使用Berlin Heart Excor®左心室辅助，两种设备共存2天。经过良好的临床过程后，开始逐步脱离设备，51天后取出设备，随后出院。护理过程基于Virginia Henderson的概念模型，采用NANDA-International， Inc. （NANDA-I）分类、护理结果分类（NOC）和护理干预分类（NIC）。护理的重点是解决患者及其家属的社会心理需求。结论护理流程的系统化应用有助于复杂护理的结构化和效果的评价。事实证明，以家庭为中心的护理对于适应疾病进程和儿科患者的康复至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.