收稿日期: 2025-05-16
网络出版日期: 2025-12-11
基金资助
遵义市科技计划项目(遵市科合HZ字(2024)300号)
Nursing care for a pediatric patient with ventricular fibrillation storm following cardiac valve replacement surgery treated with extracorporeal cardiopulmonary resuscitation
李秀毛 , 罗明先 , 崔文 , 牟胜旭 , 叶菁菁 . 心脏瓣膜置换术后患儿并发室颤电风暴经体外心肺复苏救治的护理[J]. 中华急危重症护理杂志, 2025 , 6(12) : 1451 -1453 . DOI: 10.3761/j.issn.2096-7446.2025.12.006
To summarize the nursing experience of a child who developed ventricular fibrillation storm after cardiac valve replacement surgery and was successfully treated by extracorporeal cardiopulmonary resuscitation. In critical situations where defibrillation was repeated and drug therapy was ineffective,the emergency team for extracorporeal membrane oxygenation after cardiac surgery was quickly activated to implement cardiopulmonary resuscitation. Subsequently,targeted temperature management,neuroprotective strategies,and goal-directed analgesia and sedation protocols were implemented. Through multidisciplinary team collaboration and meticulous nursing care,the child was successfully liberated from ECMO on postoperative day(POD) 7. He was transferred from ICU to the cardiac surgery on POD 12,and was discharged on POD 19. The follow-up showed good prognosis.
| [1] | Thom K, Hanslik A, Russell JL, et al. Incidence of infective endocarditis and its thromboembolic complications in a pediatric population over 30 years[J]. Int J Cardiol, 2018,252:74-79. |
| [2] | Di Mauro M, Bonalumi G, Giambuzzi I, et al. Similar outcome of tricuspid valve repair and replacement for isolated tricuspid infective endocarditis[J]. J Cardiovasc Med, 2022, 23(6):406-413. |
| [3] | Guerguerian AM, Sano M, Todd M, et al. Pediatric extracorporeal cardiopulmonary resuscitation ELSO guidelines[J]. ASAIO J, 2021, 67(3):229-237. |
| [4] | 刘丹丹, 孙君香, 张俊, 等. 1例心脏手术后突发电风暴患者行星状神经节阻滞术的护理[J]. 中华护理杂志, 2024, 59(22):2781-2784. |
| Liu DD, Sun JX, Zhang Jun, et al. A nursing case of a patient confronted by electrical storm after cardiac surgery by the method of stellate ganglion block[J]. Chin J Nurs, 2024, 59(22):2721-2784. | |
| [5] | Sandroni C, Nolan JP, Andersen LW, et al. ERC-ESICM guidelines on temperature control after cardiac arrest in adults[J]. Intensive Care Med, 2022, 48(3):261-269. |
| [6] | Kang JK, Darby Z, Bleck TP, et al. Post-cardiac arrest care in adult patients after extracorporeal cardiopulmonary resuscitation[J]. Crit Care Med, 2024, 52(3):483-494. |
/
| 〈 |
|
〉 |