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Cardiovascular Perfusion and Nursing最新文献

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Unruptured left ventricular pseudoaneurysm after silent myocardial infarction with severe mitral valve regurgitation 无症状心肌梗死伴严重二尖瓣返流后未破裂的左心室假性动脉瘤
Cardiovascular Perfusion and Nursing Pub Date : 2022-06-06 DOI: 10.5606/e-cvpn.2022.187
T. Kehlibar
{"title":"Unruptured left ventricular pseudoaneurysm after silent myocardial infarction with severe mitral valve regurgitation","authors":"T. Kehlibar","doi":"10.5606/e-cvpn.2022.187","DOIUrl":"https://doi.org/10.5606/e-cvpn.2022.187","url":null,"abstract":"Acquired left ventricular pseudoaneurysm is a rare disorder that occurs after acute myocardial infarction. Herein, we present a 55-year-old male patient with a unruptured pseudoaneurysm after acute myocardial infarction presenting with severe mitral regurgitation. After resection of the pseudoaneurysm sac, the defect of 5 cm located at the posterolateral aspect of the left ventricle was repaired with a pericardium patch, and it was determined that mitral regurgitation diminished after cardiac geometry was restored and intervention to the mitral valve not required.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132679863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perfusion management in the excision of a right atrial mass in a beating heart with robotic surgery in a pregnant patient with situs inversus totalis 灌注管理在机器人手术中切除跳动心脏右心房肿块的妊娠完全性倒位患者
Cardiovascular Perfusion and Nursing Pub Date : 2022-06-06 DOI: 10.5606/e-cvpn.2022.192
Ersan Kaan Örkeli
{"title":"Perfusion management in the excision of a right atrial mass in a beating heart with robotic surgery in a pregnant patient with situs inversus totalis","authors":"Ersan Kaan Örkeli","doi":"10.5606/e-cvpn.2022.192","DOIUrl":"https://doi.org/10.5606/e-cvpn.2022.192","url":null,"abstract":"Reoperations in cardiac surgery are very difficult and risky due to possible complications. A 27-year-old female patient at 35 weeks of pregnancy applied to the cardiology department with a complaint of palpitation. In the control transthoracic echocardiography, a 24¥25 mm mass was detected in the right atrium. The patient had situs inversus totalis and had undergone a robotic atrial septal defect closure operation one year ago. After the cesarean operation, robotic cardiac surgery was performed on the beating heart, and the mass in the right atrium was successfully removed. During the procedure, the perfusion strategy was differently conducted than the normal patient management, and the perfusion device was located differently. Cardiac surgery with minimally invasive robotic surgery in a pregnant female with dextrocardia is a special condition that requires many changes in perfusion methods and protocols, and their coexistence create a difficult process for perfusionists.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126989042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Online blood gas monitors used during cardiopulmonary bypass 体外循环期间使用的在线血气监测仪
Cardiovascular Perfusion and Nursing Pub Date : 2019-04-25 DOI: 10.5606/E-CVPN.2019.132
E. Ilhan
{"title":"Online blood gas monitors used during cardiopulmonary bypass","authors":"E. Ilhan","doi":"10.5606/E-CVPN.2019.132","DOIUrl":"https://doi.org/10.5606/E-CVPN.2019.132","url":null,"abstract":"Blood gas monitoring is a frequently used and useful clinical practice which has an important role during cardiopulmonary bypass. In this article, we describe online blood gas monitors used during cardiopulmonary bypass. Technologies used by these devices, vital parameters they measure, and the timing of the measurements are indicated. In the final section of the article, it is suggested that the use of online blood gas monitors may be helpful for predicting time and perfusion with improved quality.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116781518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular critical care nursing procedures in patients on venoarterial extracorporeal membrane oxygenation 心血管危重症患者静脉动脉体外膜氧合的护理程序
Cardiovascular Perfusion and Nursing Pub Date : 2019-04-25 DOI: 10.5606/E-CVPN.2019.122
Naim Boran Tümer
{"title":"Cardiovascular critical care nursing procedures in patients on venoarterial extracorporeal membrane oxygenation","authors":"Naim Boran Tümer","doi":"10.5606/E-CVPN.2019.122","DOIUrl":"https://doi.org/10.5606/E-CVPN.2019.122","url":null,"abstract":"Objectives: This study aims to evaluate nursing care procedures and outcomes in patients with post-cardiotomy cardiogenic shock (PCCS) requiring venoarterial extracorporeal membrane oxygenation (VA-ECMO). Patients and methods: Between June 2016 and June 2017, a total of five patients (1 male, 4 females; mean age 67.2 years; range, 55 to 81 years) who received VA-ECMO for PCCS in our clinic were retrospectively analyzed. The ECMO device was implanted in the operating room or in the cardiovascular intensive care unit CICU by an experienced cardiovascular surgeon. Air and thrombus formation and blood flow were monitored by the perfusionists. Daily nursing care included monitorization, control of bleeding, sedation management, pain control, nutrition, control of skin integrity and infection, sponge bath, changing the position of endotracheal tube, dressing replacement, decubitus control, changing sheets, and back hygiene. Results: Two patients who were successfully weaned off VA-ECMO survived to hospital discharge. The median duration of daily nursing care was 62 (range, 45 to 65) min. The longest steps in daily nursing were sponge bath and elevation of the patient. None of the patients suffered from decannulation or displacement of the VA-ECMO cannulas during nursing. Conclusion: We conclude that nurses are fundamental in the care of VA-ECMO patients for the early diagnosis and intervention of procedure-related complications.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128166520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utilization of nursing clinical decision support systems: An example of Dr. Siyami Ersek Hospital 护理临床决策支持系统的应用:以Dr. Siyami Ersek医院为例
Cardiovascular Perfusion and Nursing Pub Date : 2019-04-25 DOI: 10.5606/E-CVPN.2019.103
M. Celik
{"title":"Utilization of nursing clinical decision support systems: An example of Dr. Siyami Ersek Hospital","authors":"M. Celik","doi":"10.5606/E-CVPN.2019.103","DOIUrl":"https://doi.org/10.5606/E-CVPN.2019.103","url":null,"abstract":"Clinical decision support systems (CDSSs) are computer-based programs which support physicians and other health personnel during clinical decision making process. Working integrated with the electronic patient records, as a part of the clinical process, CDSS serves messages, makes suggestions, and helps applying new information to the patient care by analyzing patient-specific clinical variables. The CDSSs propose evidence-based nursing diagnosis to the nurses, ensure that the patient benefits from an individually designed extensive care service, and encompass drug warnings, drug interactions, food interactions, medical malpractice prevention systems, audio-visual warning systems, and statistical and reporting systems. In this article, we describe CDSSs and present type of CDSSs used in the cardiovascular surgery nursing field with relevant application examples.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115904730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
High brachial arterial cannulation is safe for cardiac surgery 高肱动脉插管在心脏手术中是安全的
Cardiovascular Perfusion and Nursing Pub Date : 2019-04-25 DOI: 10.5606/E-CVPN.2019.113
Onur Hanedan
{"title":"High brachial arterial cannulation is safe for cardiac surgery","authors":"Onur Hanedan","doi":"10.5606/E-CVPN.2019.113","DOIUrl":"https://doi.org/10.5606/E-CVPN.2019.113","url":null,"abstract":"A 70-year-old male patient was operated for severe mitral insufficiency, aortic valve stenosis, ascending aorta aneurysm, and coronary artery disease. Upper brachial arterial cannulation was performed to establish cardiopulmonary bypass. Aortic and mitral valves replaced with prosthetic mechanical valves and a 30-mm synthetic graft was interposed to the ascending aorta. Finally, five distal anastomoses were performed for multivessel coronary artery disease over a total 118-min cross-clamp time. After an uneventful recovery, the patient was discharged in the postoperative sixth day without any complication. In conclusion, we believe that high brachial arterial cannulation to establish antegrade selective cerebral perfusion seems to be a safe alternative method.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"147 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120865150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Beating heart mitral valve redo surgery in a patient with low ejection fraction and a stuck mitral valve 低射血分数和二尖瓣卡壳患者的心脏搏动二尖瓣重做手术
Cardiovascular Perfusion and Nursing Pub Date : 2019-04-25 DOI: 10.5606/E-CVPN.2019.119
H. Gümüş, A. Ünlü, A. Durukan
{"title":"Beating heart mitral valve redo surgery in a patient with low ejection fraction and a stuck mitral valve","authors":"H. Gümüş, A. Ünlü, A. Durukan","doi":"10.5606/E-CVPN.2019.119","DOIUrl":"https://doi.org/10.5606/E-CVPN.2019.119","url":null,"abstract":"Mitral valve redo surgery is a high-risk intervention in particularly patients with low ejection fraction. In these cases, if the absence of aortic insufficiency is documented, beating heart surgery is possible via right thoracotomy in the Trendelenburg position. However, venous drainage, cardiopulmonary bypass temperature, electrolyte balance, and cerebral monitorization are the key considerations for the perfusionist. Herein, we discuss the perfusion standards of mitral valve redo surgery in a patient with low ejection fraction and a stuck mitral valve.","PeriodicalId":320229,"journal":{"name":"Cardiovascular Perfusion and Nursing","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128415090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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