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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
[Surgery in children and adolescents]
María Ruzafa Martínez1, María Jesús Ruiz García, Carmen I Gómez García
1Escuele de Enfermería, Universidad de Murcia.
Insights
This study presents a standardized nursing care model for pediatric patients during the intra-operative surgical phase. It identifies key nursing diagnoses and potential complications to improve surgical patient safety.
Area of Science:
- Pediatric Nursing
- Surgical Care
- Patient Safety
Context:
- The intra-operative phase is critical in pediatric surgery, requiring specialized nursing interventions.
- Standardized care models are essential for managing risks in children and adolescents undergoing surgery.
Purpose:
- To develop a standardized nursing care model for the intra-operative phase in pediatric patients.
- To identify frequent nursing diagnoses and potential complications in this patient population.
Summary:
- This study outlines a systematic evaluation using Gordon Functional Health Patterns to develop a nursing care model for the intra-operative phase.
- Key NANDA (North American Nursing Diagnosis Association) diagnoses such as risk of lesion, infection, hypothermia, and asphyxiation were identified.
- Potential complications are discussed in relation to patient age, anesthesia, surgical technique, and health status, with corresponding nursing treatments provided.
Impact:
- Aims to enhance the quality and safety of nursing care for pediatric surgical patients.
- Provides a framework for nurses to anticipate and manage intra-operative risks effectively.
- Contributes to improved patient outcomes by standardizing evidence-based nursing interventions.
Abstract:
The authors explain the second phase in surgery procedure which is known as intra-operative, developing a standardized model of nursing care for children and adolescents during the intra-operative phase. This phase commences in the operating room from the moment the child/adolescent arrives after being brought from a hospital ward and lasts until the child/adolescent is transferred to the recovery room. The authors perform a systematic and holistic evaluation, using the Gordon Functional Health Patterns. The authors select the Nursing Diagnoses of NANDA, the North American Nursing Diagnosis Association, which most frequently appear in this intra-operative phase: risk of lesion, risk of infection, risk of hypothermia, and risk of asphyxiation. The authors also mention the potential complications which could appear during an operation according to the age of the child, the type of anesthesia used, the surgical technique used, and the overall health of the patient prior to surgery. Finally, the authors describe the nursing treatments related to the potential complications and the outlined nursing diagnoses.
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