在内血管外围干预后,当天放出
Faisal M Shaikh1, Hannah Cliffe2, Canice O'Mahony2
1Department of Vascular Surgery, North Wales Hospitals, Wales, UK - faisalshaikh@rcsi.ie.
概括
经过外周内血管干预后的当天排泄是安全的,可行的,即使在农村环境中也是如此. 这种方法显示出较低的并发症率,支持其普遍采用以改善患者护理.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 由于技术进步,日用外围内血管干预越来越多地被采用.
- 农村医院在采用当天出院模式方面面临挑战,原因是有限的紧急服务访问.
研究的目的:
- 评估在外周内血管干预后同日排放的安全性和可行性.
- 评估农村医疗保健环境中日间病例程序的结果.
主要方法:
- 在24个月内对221名患者进行237次外围动脉干预的回顾性研究.
- 从前性维护的干预放射学数据库中收集的数据.
- 主要终点:安全的当天出院;次要终点:不良事件和意外入院.
主要成果:
- 92.8%的患者在同一天安全出院.
- 技术成功率为90%,并发症率为5%.
- 非计划性住院率为7.2%.
结论:
- 对于外周内血管干预的同一天出院是安全的,并且在农村地区是可行的.
- 低并发症和再入院率支持这种护理模式的普遍采用.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
354
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...
354
Aneurysm IV: Nursing Management
353
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...
353
Peripheral Artery Disease III: Interprofessional Care
221
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...
221
Cardiac Catheterization IV: Nursing Management
606
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
606
Venous Thrombosis III: Interprofessional Care
262
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
262
Endocarditis IV: Nursing Management
297
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
297


