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Related Concept Videos

Ostomy Care01:24

Ostomy Care

3.3K
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

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A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
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Tracheostomy Decannulation01:21

Tracheostomy Decannulation

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

2.8K
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
2.8K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen01:16

Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen

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Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
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Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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[High output stoma: detection and approach].

Jose Javier Arenas Villafranca1, Jimena Abilés1, Gloria Moreno2

  • 1Área de Farmacia y Nutrición. Hospital Costa del Sol, Marbella. Málaga.. jjavier.arenas@gmail.com.

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|November 30, 2014
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Summary

High output stoma, a common ileostomy complication, requires better identification and management. This review examines its causes, implications, and optimal treatment strategies for improved patient outcomes.

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Area of Science:

  • Gastroenterology
  • Surgical complications
  • Patient management

Background:

  • High output stoma is a frequent, yet poorly defined, complication following ileostomies.
  • It presents with variable fluid losses and significant short- and long-term negative patient implications, including hospital readmissions.

Purpose of the Study:

  • To review literature on surgical resection factors influencing high output stoma development.
  • To clarify the causes, define high output stoma objectively, and outline negative implications.
  • To establish best practices for patient management, including treatment and nutritional approaches.

Main Methods:

  • Systematic literature review focusing on surgical factors.
  • Analysis of causes and clinical implications of high output stoma.
  • Development of management guidelines.

Main Results:

  • Surgical resection-related factors are identified as key influencers of high output stoma.
  • A clear definition and understanding of high output stoma are needed.
  • Negative patient outcomes and readmissions are strongly associated with this complication.

Conclusions:

  • Improved identification and objective definition of high output stoma are crucial.
  • Multifaceted management strategies, including nutritional support, are essential for affected patients.
  • Addressing surgical factors and optimizing stoma care can mitigate complications and improve patient well-being.