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Nursing Implications for the Management of Lymphatic Malformation in Children [Formula: see text]
11 University of Pennsylvania School of Nursing, Philadelphia, PA, USA.
Insights
Lymphatic malformation (LM) is a congenital condition in children that can lead to severe complications. Pediatric nurses play a vital role in managing care, supporting families through complex treatments for this rare disease.
Area of Science:
- Pediatric Surgery
- Vascular Anomalies
- Nursing Care
Background:
- Lymphatic malformation (LM) is a congenital, benign childhood growth.
- It typically presents at birth or by age 2.
- LM can cause severe complications like respiratory failure, dysphagia, and nerve compression.
Purpose of the Study:
- To highlight the role of nurses in managing children with lymphatic malformations.
- To discuss the challenges and complications associated with LM.
- To review current and alternative treatment options for LM.
Main Methods:
- Literature review of LM diagnosis and management.
- Discussion of surgical and non-surgical treatment modalities.
- Emphasis on the nursing scope of practice in pediatric complex care.
Main Results:
- Surgery is the primary treatment, but not always feasible.
- Sclerotherapy, radiofrequency ablation, propranolol, and sirolimus are alternative treatments.
- Nurses provide essential bedside care, family education, case coordination, and psychosocial support.
Conclusions:
- LM is a rare, complex condition requiring specialized pediatric nursing care.
- Nurses are crucial in supporting families through prolonged treatment and potential complications.
- Comprehensive care involves multidisciplinary collaboration for optimal patient outcomes.
Abstract:
Lymphatic malformation (LM) is a benign congenital childhood growth that presents primarily at birth, with the remainder becoming evident by age 2 years. LM can cause devastating complications such as respiratory failure, dyspnea, dysphagia, organ compression, and nerve compression. Surgery is the preferred treatment option, although resection is not always an option due to the anatomic location of the malformation. Other treatments that have been tried with success include sclerotherapy, radiofrequency ablation, propranolol, and sirolimus. Nurses have an important role in caring for the child with LM, as with any complex disease. Nurses provide care at the bedside, education to the family, case coordination, and psychosocial support. LM is a rare disease in infancy necessitating pediatric nurses to support families through prolonged treatments and potential complications.
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