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Related Concept Videos

Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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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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Aneurysm IV: Nursing Management01:22

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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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Designing a Perioperative Mind-Body Intervention for Peripheral Vascular Interventions.

Chien Yi Maximilian Png1, Darshan H Mehta2,3, Anahita Dua1

  • 1Division of Vascular Surgery, Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.

Global Advances in Integrative Medicine and Health
|September 18, 2024
PubMed
Summary
This summary is machine-generated.

This study developed a novel mind-body intervention (MBI) using guided meditation for patients undergoing peripheral vascular interventions (PVIs) under procedural sedation and analgesia (PSA). The MBI aims to reduce anxiety and improve patient compliance during surgery.

Keywords:
conscious sedationintegrative medicineperioperative meditationvascular surgery

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Area of Science:

  • Cardiovascular Surgery
  • Behavioral Medicine
  • Anesthesiology

Background:

  • Peripheral vascular interventions (PVIs) under procedural sedation and analgesia (PSA) can induce patient anxiety and reduce intraoperative compliance.
  • Existing mind-body interventions (MBIs) are not tailored for vascular surgery patients undergoing PVIs.
  • There is a need for evidence-based MBIs to support this patient population.

Purpose of the Study:

  • To design a perioperative MBI specifically for vascular surgical patients undergoing PVIs under PSA.
  • To employ a rigorous, multi-disciplinary approach in developing the MBI.
  • To decrease perioperative anxiety and enhance intraoperative compliance in this patient group.

Main Methods:

  • The MBI was developed using the Obesity-Related Behavioral Intervention Trials (ORBIT) model, involving protocol design and expert panel refinement.
  • A modified Delphi approach with a multi-disciplinary panel of experts was used to iteratively improve the MBI.
  • Phase 1a included literature review and protocol drafting; Phase 1b involved expert consensus building.

Main Results:

  • A consensus was reached on a novel MBI after three iterations of the modified Delphi process.
  • The MBI comprises two seven-minute preoperative guided meditations incorporating diaphragmatic breathing, body scans, and guided imagery.
  • The intervention emphasizes awareness of the surgical site (ipsilateral leg) and includes a detailed workflow integration plan.

Conclusions:

  • A novel MBI, integrating mindfulness and guided imagery, was successfully designed for PVIs under PSA.
  • This MBI aims to mitigate anxiety and improve intraoperative compliance in vascular surgery patients.
  • A prospective pilot study is planned to evaluate the feasibility of this tailored MBI.