Nursing of a patient undergoing VV-ECMO after cardiopulmonary resuscitation

Tao FENG; Liying CHEN; Haie XIA

doi:10.12209/CAIM202308220001

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Nursing of a patient undergoing VV-ECMO after cardiopulmonary resuscitation

更新时间：2023-09-07

- Nursing of a patient undergoing VV-ECMO after cardiopulmonary resuscitation
- Clinical Archives of Integrative Medicine (2023)
- 作者机构：
  
  1.海南医学院第一附属医院创伤ICU，海南海口 570102
  2.海南医学院第一附属医院急诊和创伤外科，海南海口 570102
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202308220001
  CLC：
- Published Online：06 September 2023，
  
  Received：22 August 2023，
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Tao FENG, Liying CHEN, Haie XIA. Nursing of a patient undergoing VV-ECMO after cardiopulmonary resuscitation. [DB/OL].Clinical Archives of Integrative Medicine (2023)
DOI：

Tao FENG, Liying CHEN, Haie XIA. Nursing of a patient undergoing VV-ECMO after cardiopulmonary resuscitation. [DB/OL].Clinical Archives of Integrative Medicine (2023) DOI： 10.12209/CAIM202308220001.

摘要

本文总结1例心肺复苏术后行VV-ECMO患者的护理。该患者由低钾血症引起心搏骤停，行心肺复苏、电除颤。术后患者恢复自主心率，但已出现心肌损伤，加上高血压、肺部重症感染等因素诱发急性左心衰发作，左心负荷增加导致肺部循环压力增加，最终出现肺水肿，肺泡上皮在原有感染损伤的基础上进一步损伤，最终出现了严重的心肺功能失调，ECMO团队评估患者后决定行VV-ECMO。科学地运用护理程序对其进行治疗护理、观察护理、生活护理、康复护理、心理护理等护理干预，有效预防相关并发症发生，成功康复出院。科学的护理程序是保证患者预后的关键，成功改善其生活质量，回归正常社会生活。

Abstract

This article summarizd the nursing care of a patient with VV-ECMO after cardiopulmonary resuscitation. The patient experienced cardiac arrest caused by hypokalemia and underwent cardiopulmonary resuscitation and defibrillation. After surgery， the patient regained their autonomous heart rate， but myocardial damage had already occurred. In addition， factors such as hypertension and severe pulmonary infection induced acute left heart failure， increased left heart load led to increased pulmonary circulation pressure， ultimately leading to pulmonary edema. The alveolar epithelium was further damaged on the basis of the original infection damage， ultimately leading to severe cardiopulmonary dysfunction. The ECMO team evaluated the patient and decided to undergo VV-ECMO. Scientifically apply nursing procedures to provide treatment care， observation care， daily care， rehabilitation care， psychological care， and other nursing interventions to effectively prevent related complications and successfully recover and discharge from the hospital； Scientific nursing procedures are key to ensuring patient prognosis， successfully improving their quality of life， and returning to normal social life.

关键词

低钾血症心搏骤停心肺复苏术重症肺炎VV-ECMO

Keywords

hypokalemiacardiac arrestpostoperative cardiopulmonary resuscitationsevere pneumoniaVV-ECMO

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