一例非典型肺炎冠状动脉旁路移植术患者围手术期护理标准

Amal Ayoub, Abdulomohsen Folos
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引用次数: 0

摘要

由2019年12月下旬开始的严重急性呼吸道冠状病毒-2 (SARS - CoV-2)引起的2019年冠状病毒病(COVID - 19)大流行导致数百万人感染和死亡,并导致包括外科手术在内的常规临床服务中断。这种日常的延迟;外科手术导致病人积压,包括心脏,计划进行手术干预。大流行给医护人员带来了前所未有的挑战,他们在处理患者(包括外科患者)时要维护患者和个人安全。一般的卫生保健人员和护理确诊的SARS-CoV-2感染患者的护士都有很高的患者风险和自我安全问题,特别是在围手术期护理中,产生气溶胶的程序是护理的关键组成部分。在此,我们介绍了SARS - CoV-2感染患者的围手术期护理方法,该患者经逆转录聚合酶链反应(rt-PCR)确诊,并在近四周内重复四次呈阳性,该患者接受了必要的冠状动脉旁路移植术(CABG),并特别关注标准建议和方案。护理人员必须遵守这些推荐的围手术期协议;病人和护理安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative Nursing Care Standards in a SARS CoV-2 Infected Patient for Mandatory Coronary Artery Bypass Grafting
The coronavirus disease 2019 (COVID‐19) pandemic, caused by severe acute respiratory corona virus-2 (SARS CoV-2) that started in late December 2019, lead to millions of infections and mortalities and disruption in routine clinical services, including surgical procedures. Such delay in routine; surgical procedures leads to a backlog of patients, including cardiac, planned for surgical interventions. The pandemic has presented healthcare workers with the unprecedented challenge of maintaining patient and personal safety dealing with patients, including surgical ones. The healthcare personnel in general and nurses caring confirmed SARS-CoV-2 infected patients in specific have a high risk of patients and self-safety concerns, especially under peri-operative care where aerosol-producing procedures are key components of care. Herein, we present the peri-operative nursing approach to a SARS CoV-2 infected patient, confirmed with reverse transcriptase-polymerase chain reaction (rt-PCR), and remained positive as repeated four times in nearly four weeks, who underwent an essential coronary artery bypass graft (CABG), with specific focus to standard recommendations and protocols. Adherence by nursing staff to these recommended peri-operative protocols will mandate; both patient and nursing safety.
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