2.50
Hdl Handle:
http://hdl.handle.net/10755/156055
Type:
Presentation
Title:
Nursing Management in Mechanically Supported Patients
Abstract:
Nursing Management in Mechanically Supported Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Papastoikou, Anna, BA
P.I. Institution Name:St Luke's Hospital
Title:Nurse
Co-Authors:Maria Delitskou, BA
[Evidence-based Practice Session Presentation] Temporary and long term Mechanical Circulatory Support is assuming an increasingly important role in the treatment of acute and end stage chronic heart failure. Improved patient management along with optimized patient selection and advanced device technology resulted in the recently improved outcomes. The nursing staff can play an important role in preoperative, intraoperative and postoperative patient management. After specialized training a nurse can play the role of the coordinator and along with a nursing team they should be actively involved in patient and device management during all phases of support. Pre device implantation the coordinators can contribute to patient selection and preparation. While the coordinator's presence in the operating theater is desirable; his or her involvement in the intensive care unit is essential, mediating among physicians of different specialties and ensuring balance between protocol standards and individualized patient care. After the patients are discharged home the coordinators should ensure regular follow up and offer immediate advise, care and management in cases of emergency. The coordinators should have a nursing background, while technical knowledge is desirable. Communication skills are imperative in order to deal with severely ill patients, requiring precise and combined medical management and supportive family and social environment. The experience of our non-transplant center includes long, intermediate and short term Mechanical Circulatory Support. Since 2001, 27 patients received short term centrifugal support, mostly postcardiotomy, with a survival to discharge rate of 44.4%, without bridging to transplantation or to long term support.  Since 2006, 9 end stage chronic heart failure patients received long or intermediate term support with various devices, and various support strategies. There were 2 early deaths. Apart from repeated but successfully treated intracardiac thrombosis in one patient, no other life threatening adverse events occurred during a total support period of 59 patient-months.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNursing Management in Mechanically Supported Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156055-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Nursing Management in Mechanically Supported Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Papastoikou, Anna, BA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St Luke's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">info@klinikiagiosloukas.gr</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Maria Delitskou, BA</td></tr><tr><td colspan="2" class="item-abstract">[Evidence-based Practice Session Presentation] Temporary and long term Mechanical Circulatory Support is assuming an increasingly important role in the treatment of acute and end stage chronic heart failure. Improved patient management along with optimized patient selection and advanced device technology resulted in the recently improved outcomes. The nursing staff can play an important role in preoperative, intraoperative and postoperative patient management. After specialized training a nurse can play the role of the coordinator and along with a nursing team they should be actively involved in patient and device management during all phases of support. Pre device implantation the coordinators can contribute to patient selection and preparation. While the coordinator's presence in the operating theater is desirable; his or her involvement in the intensive care unit is essential, mediating among physicians of different specialties and ensuring balance between protocol standards and individualized patient care. After the patients are discharged home the coordinators should ensure regular follow up and offer immediate advise, care and management in cases of emergency. The coordinators should have a nursing background, while technical knowledge is desirable. Communication skills are imperative in order to deal with severely ill patients, requiring precise and combined medical management and supportive family and social environment. The experience of our non-transplant center includes long, intermediate and short term Mechanical Circulatory Support. Since 2001, 27 patients received short term centrifugal support, mostly postcardiotomy, with a survival to discharge rate of 44.4%, without bridging to transplantation or to long term support.&nbsp; Since 2006, 9 end stage chronic heart failure patients received long or intermediate term support with various devices, and various support strategies. There were 2 early deaths. Apart from repeated but successfully treated intracardiac thrombosis in one patient, no other life threatening adverse events occurred during a total support period of 59 patient-months.</td></tr></table>en_GB
dc.date.available2011-10-26T14:24:40Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:24:40Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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