Jove
Visualize
联系我们
JoVE
x logofacebook logolinkedin logoyoutube logo
关于 JoVE
概览领导团队博客JoVE 帮助中心
作者
出版流程编辑委员会范围与政策同行评审常见问题投稿
图书馆员
用户评价订阅访问资源图书馆顾问委员会常见问题
研究
JoVE JournalMethods CollectionsJoVE Encyclopedia of Experiments存档
教育
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab Manual教师资源中心教师网站
使用条款与条件
隐私政策
政策

相关概念视频

Aortic Regurgitation IV: Nursing Management01:17

Aortic Regurgitation IV: Nursing Management

270
A nurse managing a patient with aortic regurgitation begins with a comprehensive assessment, including a review of the patient's medical history, family history, and lifestyle factors. During the cardiac examination, the nurse listens for heart sounds and checks for signs of valve abnormalities. The nurse also observes for symptoms such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea and assesses the patient's endurance and daily activity tolerance.Based on the findings, the nurse...
270
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

205
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
205
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

383
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
383
Heart Failure VI: Adjunct Therapies01:22

Heart Failure VI: Adjunct Therapies

243
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
243
Continuous Renal Replacement Therapy01:30

Continuous Renal Replacement Therapy

783
Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
783
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

231
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...
231

您也可能阅读

相关文章

通过共同作者、期刊和引用图与本文相关的文章。

排序
Same author

Reducing TAVR Vascular Complications Through Multidisciplinary Process Optimization.

JACC. Case reports·2025
Same author

Rapid Response Protocol for Large-Bore Access Thrombosis After Percutaneous LVAD Removal.

JACC. Case reports·2025
查看所有相关文章

相关实验视频

Updated: Jan 11, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

488

通过增强过渡期护理,减少跨导管大动脉置换后的再入院.

Misty L Theriot1, Edward C Bergen1, Joseph G Lugo1

  • 1Lake Charles Memorial, Hospital Heart & Vascular Center, Lake Charles, Louisiana, USA.

JACC. Case reports
|November 14, 2025
PubMed
概括

实施一个结构化,多学科的过渡期护理计划,大大减少了跨导管大动脉置换 (TAVR) 后30天的再入院. 这种以患者为中心的方法改善了结果,并降低了医疗保健成本.

科学领域:

  • 心血管医学 心血管医学
  • 改善医疗保健质量 改善医疗保健质量
  • 患者护理管理的管理.

背景情况:

  • 超导管大动脉置换 (TAVR) 的使用正在增加,强调需要更好的护理协调.
  • 在TAVR后的30天高回收率带来了重大的临床和财务挑战.
  • 一个机构的再录取率为12.7%,这促使了一项质量改善倡议.

研究的目的:

  • 评估跨学科过渡性护理途径对TAVR后再入院的影响.
  • 评估患者参与和卫生干预措施的社会决定因素的有效性.
  • 为了确定对逗留时间和成本节省的影响.

主要方法:

  • 一个分阶段的,多学科的护理途径被实施,包括标准化的教育,早期后续和监测.
  • 干预的重点是患者参与,主动检测并发症和护理连续性.
  • 计划-做-研究-行动循环指导了质量改善计划,并纳入了健康查的社会决定因素.

主要成果:

  • 实施后,30天的再入院率从12.7%降至1.9%,即使在高风险患者队列中.
  • 该倡议导致了平均逗留时间的减少.
  • 同时实现了显著的成本节约,并改善了患者的治疗结果.
关键词:
大动脉门的大动脉门医疗保健 经济学 经济学在术后的术后生活.门的更换 门的更换

更多相关视频

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

11.0K
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.8K

相关实验视频

Last Updated: Jan 11, 2026

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
06:04

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

488
Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation
06:59

Improved Registration of 3D CT Angiography with X-ray Fluoroscopy for Image Fusion During Transcatheter Aortic Valve Implantation

Published on: June 3, 2018

11.0K
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.8K

结论:

  • 结构化,多学科的过渡期护理有效地减少了TAVR后的再接收.
  • 以患者为中心的策略和解决健康的社会决定因素对于长期成功至关重要.
  • 该模型提供了一种可持续的方法来提高护理质量和降低医疗保健支出.