Welcome to Bilingual Publishing Group

Nursing Care of a Case of Mediastinal Tumor Resection Combined with Postoperative Thoracic Hemorrhage after Video-assisted Thoracoscopic Surgery (VATS)

Authors

  • Min Tang Email National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China
  • Xiaohua Tang National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China
  • Yuqin Cui National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China

DOI:

https://doi.org/10.30564/jor.v2i2.2473
Received: 19 October 2020 | Published Online: 13 November 2020

Abstract

Objective: To summarize the nursing experience of a patient with
postoperative intrathoracic hemorrhage after thoracoscopic-assisted
resection of the right upper mediastinal tumor through the original incision.
Methods: Summarize the main points of nursing care of postoperative
intrathoracic hemorrhage after thoracoscopic mediastinal surgery, including
observation and nursing when internal hemorrhage occurs after operation,
respiratory management, activity management and pain management
measures. Result: After careful care, the patient recovered and discharged
smoothly. Conclusion: It is particularly important to observe the overall
observation and take timely corresponding nursing measures for patients
with intrathoracic hemorrhage after thoracoscopic mediastinal surgery.

Keywords:

Mediastinal tumor, Postoperative thoracic hemorrhage, Nursing care

References

[1]Yun PJ, Huang TW, L1 YF, et al. Symptomatic pericardial schwannoma treated with video-assisted thoracic surgery: a case report[J]. J Thorac Dis, 2016, 8(5): 349-352.

[2]Fenglei Yu, Xiang Wang, Mingjiu Chen, et al. Surgical treatment analysis of 109 fatal hemorrhages in 5267 cases of general thoracic surgery[J]. Chinese Physician Journal, 2005, 3(7).

[3]Xin Geng, Zhanhao Liu, Ming Huang. Full thoracoscopic surgery to remove primary mediastinal tumors[A]. Modern Instruments and Medical Care, 2017, 23(2): 18-19.

[4]Dehua Ma, Chengchu Zhu. Analysis of 11 cases of reoperation to stop bleeding after video-assisted thoracoscopy[J]. Journal of Clinical Surgery, 2006, 11(2).

[5]Cardillo G1, Carleo F, Khalil MW, et al. Surgical treatment of benign neurogenic tumours of the mediastinum: a single institution report EJ]. Eur J Cardiothorac Surg, 2008, 34(6): 1210-1214.

[6]Yu Duan, Yujun Wang, Yuanchun Long. Nursing experience of closed thoracic drainage[B]. Frontiers of Medicine, 2015, 5(18).

[7] Chinese Medical Association Thoracic and Cardiovascular Surgery Branch. Expert consensus on prevention and treatment of perioperative bleeding in thoracic surgery[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 34(6).

[8] Huihui Cao, Xi Xiao, Hui Meng. Evaluation and treatment progress of intrathoracic hemorrhage in general thoracic surgery[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(8): 640-643.

[9]Critical Care Medicine Branch of Chinese Medical Association. Guidelines for Resuscitation of Hypovolemic Shock (2007)[J]. Chinese Critical Care Medicine, 2008, 20(3): 129-134.

[10]Rady MY, Nightingale P, Little RA, Edwards JD. Shock index: a reevaluation in acute circulatory failure. Resuscitation. 1992, 23: 227-234.

[11]Chad M. Cannon, MD, Carla C et al. Utility of the Shock Index in Predicting Mortality in Traumatically Injured Patients[J] Trauma, 2009, 67: 1426-1430.

[12]Yanjie Hu, Hongqin Liu. Observation and nursing care of intrathoracic hemorrhage after thoracoscopic esophageal cancer resection[J]. Health Research, 2013, 33(3).

[13]Hang Hu, Hongqin Liu, Yingyan Yao. Nursing care of 30 lung cancer patients with intrathoracic hemorrhage after pneumonectomy[J]. Journal of Nursing, 2012, 19(8A).

[14]Kendall F, Abreu P, Pinho P, et al. The role of physiotherapy in patients undergoing pulmonary surgery for lung cancer. Aliterature review. Rev Port Pneumol, 2017, 23(6): 343-351.

[15]Bhatt NR, Sheridan G, Connolly M, et al. Postoperative exercise training is associated with reduced respiratory infection rates and early discharge: A case-control study. Surgeon, 2017, 15(3): 139-146.

[16]Cassidy MR, Rosenkranz P, McCabe K, et al. I COUGH: reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg, 2013, 148(8): 740-745.

[17]Thoracic Surgery Professional Committee of China Medical Foundation. Chinese expert consensus on lung protection during perioperative period of thoracic surgery (2019)[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2019, 26 (9).

[18]Liu Xin, Zhang Hong, Chen Lan. The design of the domestic peripheral operation breathing training device[J]. China Tissue Engineering Research and Clinical Rehabilitation, 2010, 14(48).

[19]Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA. Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain, 2012, 28: 819-41.

[20]A Clinical Practice GuidelineFrom the American Pain Society. Guidelines on the Management of Postoperative Pain[J]. The Journal of Pain, 2016, 17(2).

[21]Guidelines for postoperative analgesia after SFAR in 2019.

[22] Peterffy A, Henze A. Haemorrhagic complications during pulmonary resection. A retrospective review of 1428 resections with 113 haemorrhagic episodes[J]. Scand J Thorac Cardiovasc Surg, 1983, 17(3): 283-287.

Downloads

Issue

Article Type

Article