照顾心脏和肺移植患者的护理
Brigitte Hollander1, Antonio Rubino1, Jasvir Pamar2
1Department of Anaesthesia and Intensive Care, Royal Papworth Hospital, Cambridge, UK.
Journal of intensive care medicine
|July 15, 2025
概括
本综述涵盖了心脏和肺移植患者的术后护理,强调早期识别和治疗并发症. 它强调需要多学科团队和有效的沟通,以获得心胸移植的最佳结果.
科学领域:
- 心胸外科手术 心胸外科手术
- 密集护理医学 密集护理医学
- 移植医学 移植医学 移植医学
背景情况:
- 心脏和肺移植对于最终阶段的心脏或呼吸系统衰竭至关重要.
- 由于器官短缺,在移植前经常需要机械循环支持.
- 移植接受者面临许多手术后并发症,包括移植失败和感染.
研究的目的:
- 为一般重症医生提供心脏和肺移植患者手术前护理的概述.
- 概述在专科重症监护室以外管理这些复杂患者的一般原则.
- 强调早期发现并发症和及时治疗的重要性.
主要方法:
- 对心胸移植重症监护的当前文献和临床实践的审查.
- 综合有关术前桥梁,手术护理和术后管理的信息.
- 强调多学科的团队方法和跨学科的沟通.
主要成果:
- 成功的管理需要来自多元化的专家团队的协作努力.
- 早期识别和及时干预对于缓解移植并发症至关重要.
- 有效的沟通和共享决策提高了患者的治疗结果.
结论:
- 管理心脏和肺移植患者需要一个全面的,以团队为基础的方法.
- 综合重症医生需要特殊的知识来有效地管理这些患者,即使在专业中心之外.
- 通过协调努力优化术后护理可以改善移植后的生存和移植功能.
相关概念视频
Kidney Transplant III: Nursing Management
83
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
83
Kidney Transplant I: Introduction
64
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
64
Cardiomyopathy V: Interprofessional Care
37
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
37
Cardiomyopathy VII: Pre and Post Operative Nursing Management
29
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...
29
Kidney Transplant II: Surgical Procedure
77
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
77
Tissue Transplantation
524
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
524


