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Related Concept Videos

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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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Maternal Fetal Surgery: Intervention and Management.

Christina Paidas Teefey1, Shelly Soni, Nahla Khalek

  • 1Center for Fetal Diagnosis and Treatment at the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

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Summary

Prenatal surgery can now treat various fetal conditions, improving outcomes for newborns. Techniques range from open surgery to minimally invasive methods, requiring careful patient selection.

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Area of Science:

  • Medical Science
  • Fetal Medicine
  • Surgical Innovation

Background:

  • Congenital malformations affect approximately 3% of live births, contributing significantly to perinatal morbidity and mortality.
  • Advances in understanding fetal development, imaging technology, and pathophysiology have enabled prenatal surgical interventions.
  • Fetal surgical therapy has expanded beyond life-threatening conditions.

Purpose of the Study:

  • To review the advancements and current state of fetal surgical interventions.
  • To discuss the evolving landscape of prenatal treatment options for fetal diseases.
  • To highlight the importance of multidisciplinary evaluation in patient selection for fetal surgery.

Main Methods:

  • Review of current literature and clinical practices in fetal surgery.
  • Categorization of fetal surgical techniques into open and minimally invasive approaches (endoscopic/ultrasound-guided).
  • Emphasis on the multidisciplinary approach for patient evaluation and shared decision-making.

Main Results:

  • Fetal surgical interventions have demonstrated improved fetal diseases and neonatal outcomes.
  • Surgical options now encompass a broader range of prenatal diagnoses.
  • Minimally invasive techniques offer new avenues for fetal treatment.

Conclusions:

  • Prenatal surgical therapy is a rapidly advancing field with the potential to significantly improve neonatal outcomes.
  • The choice between open and minimally invasive fetal surgery depends on the specific condition and requires expert multidisciplinary assessment.
  • Shared decision-making is crucial for optimal patient and family-centered care in fetal surgery.