左心室辅助装置桥接心脏移植患儿的围手术期护理

doi:10.3761/j.issn.2096-7446.2025.11.012

Abstract

Abstract:

To summarize the perioperative nursing experience of a child with end-stage heart failure undergoing left ventricular assist device bridging heart transplantation. The key points of nursing included adjusting the appropriate blood pump speed，optimizing the volume management and taking remedial anticoagulation strategies before the surgery to create favorable conditions for heart transplantation；early recognition and treatment of primary graft dysfunction，large donor heart syndrome and potential complications of acute rejection after the surgery to improve post-transplant survival. After 47 days of careful treatment and nursing，the cardiac function of the child recovered to grade Ⅱ without serious complications and was discharged.

Key words: Heart Assist Device, Heart Transplantation, Perioperative Nursing, Pediatric Nursing, Critical Care Nursing

ZHOU Jun, CHEN Ruan, ZHU Jihua. Perioperative nursing care of a child undergoing left ventricular assist device bridging heart transplantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(11): 1355-1358.

References 11

[1]	袁宇星, 潘博, 孙慧超, 等. 儿童终末期心力衰竭的诊治现状与展望[J]. 中国实用儿科杂志, 2024, 39(2):147-151.
	Yuan YX, Pan B, Sun HC, et al. Diagnosis and treatment of advanced heart failure in children:current status and prospect[J]. Chin J Pract Pediatr, 2024, 39(2):147-151.
[2]	Conrad N, Judge A, Tran J, et al. Temporal trends and patterns in heart failure incidence:a population-based study of 4 million individuals[J]. Lancet, 2018, 391(10120):572-580. doi: 10.1016/S0140-6736(17)32520-5
[3]	Singh TP, Cherikh WS, Hsich E, et al. The international thora-cic organ transplant registry of the international society for heart and lung transplantation:twenty-fifth pediatric heart tran-splantation report-2022;focus on infant heart transplantation[J]. J Heart Lung Transplant, 2022, 41(10):1357-1365. doi: 10.1016/j.healun.2022.07.019
[4]	国家卫生健康委员会. 关于印发中国人体器官分配与共享基本原则和核心政策的通知[J]. 中华人民共和国国家卫生和计划生育委员会公报, 2018(7):11-24.
	National Health Commission. Circular of issuing basic prin-ciples and core policies for the distribution and sharing of human organs of China[J]. Gazette National Health Family Plan-ning Commission PRC, 2018(7):11-24.
[5]	Sidhu K, Lam PH, Mehra MR. Evolving trends in mechanical circulatory support:clinical development of a fully magneti-cally levitated durable ventricular assist device[J]. Trends Car-diovasc Med, 2020, 30(4):223-229.
[6]	周军, 李帅妮, 朱胜男, 等. 终末期心力衰竭患儿植入左心室辅助装置的术后护理[J]. 中华急危重症护理杂志, 2025, 6(3):335-338. doi: 10.3761/j.issn.2096-7446.2025.03.013
	Zhou J, Li SN, Zhu SN, et al. Postoperative care of children with end-stage heart failure undergoing the implantation of left ventricular assist devices[J]. Chin J Emerg Crit Care Nurs, 2025, 6(3):335-338.
[7]	Velleca A, Shullo MA, Dhital K, et al. The International Society for Heart and Lung Transplantation(ISHLT) guidelines for the care of heart transplant recipients[J]. J Heart Lung Transplant, 2023, 42(5):e1-e141.
[8]	国家心血管病专家委员会护理专业委员会. 左心室辅助装置植入患者术后护理专家共识[J]. 中华护理杂志, 2024, 59(14):1687-1690.
	Nursing Professional Committee of the National Cardiovascular Disease Expert Committee. Expert consensus on postoperative care of patients with a left ventricular assistant device[J]. Chin J Nurs, 2024, 59(14):1687-1690.
[9]	史长霞, 苏传芹, 邱文娟, 等. 心脏移植术后原发性移植物衰竭行机械辅助治疗患者的护理[J]. 国际护理学杂志, 2022, 41(4):697-701.
	Shi CX, Su CQ, Qiu WJ, et al. Nursing care of patients with primary graft failure after heart transplantation undergoing mechanically assisted therapy[J]. Int J Nurs, 2022, 41(4):697-701.
[10]	朱家德, 吴敏. 儿童心脏移植的治疗进展与展望[J]. 器官移植, 2023, 14(1):56-61.
	Zhu JD, Wu M. Progress and prospect of heart transplantation in children[J]. Organ Transplant, 2023, 14(1):56-61.
[11]	黄洁, 廖中凯. 中国心脏移植免疫抑制治疗及排斥反应诊疗规范(2019版)[J]. 中华移植杂志(电子版), 2019,13(1):15-20.
	Huang J, Liao ZK. Chinese standard for immunosuppressive therapy and rejection of heart transplantation(2019 ed)[J]. Chin J Transplant(Electron Ed), 2019, 13(1):15-20.

[1]	XIAO Qianyun, HUANG Xiaoxia, ZHOU Xinying, YE Huan, ZHOU Liping. Intensive pulmonary rehabilitation nursing for a patient with extremely severe obesity and pulmonary embolism [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1094-1096.
[2]	SUN Miaojuan, HE Peipei, XIANG Shilong, HU Lijun. Early identification and perioperative nursing of pleuroperitoneal communication in patients with peritoneal dialysis complicated [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1097-1099.
[3]	GUO Jing, JIN Jin, WANG Xinran. Care of a patient with hypertriglyceridemia induced acute pancreatitis undergoing continuous renal replacement therapy combined with hemosorption [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1100-1102.
[4]	YANG Xiaona, XU Caijuan, ZHANG Yuping, WANG Lizhu, LI Qian, GE Lan, LAN Meijuan. Construction and practice of an integrated critical nursing teaching for master students of nursing specialist [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1118-1123.
[5]	WANG Yuan, WU Huiling, SHAO Lewen. Research progress on health-related quality of life and assessment tools for pregnant women with heart disease [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1149-1152.
[6]	LI Li, WANG Xiaoan, WU Ke, ZHANG Zhiquan, WU Lifen. Postoperative nursing care of a child with short bowel syndrome caused by giant mesenteric lymphangioma undergoing small intestinal transplantation [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(9): 1103-1105.
[7]	WANG Tingting, MA Yajun, GAO Wen, ZHANG Yuping, JIN Jingfen. Research progress of family auditory stimulation in the prevention of ICU delirium [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 1017-1020.
[8]	LIU Yuting, QI Mengying, MENG Siya, WANG Binghan, WANG Qiaosha, HE Guilan. Construction and application effects of an analgesia and sedation management program for adult patients undergoing extracorporeal membrane oxygenation therapy [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 901-907.
[9]	ZHANG Jing, WANG Lizhu, Huang Xiaoxia, FENG Xiuqin. Nursing care of a severely obese patient with acute respiratory distress syndrome after severe trauma [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 957-959.
[10]	YANG Muying, CHEN Xuan, HU Han. Emergency nursing care for sudden airway obstruction in a patient with severe subglottic airway stenosis during hemodialysis [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 960-963.
[11]	WANG Qin, WANG Feixia, WANG Qunmin, JIANG Die, PAN Zhe, LI Weizhen, ZHAO Panpan, HUA Hanju. Nursing care of patients with enterocutaneous fistula undergoing intra-fistula intubation diversion technique [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(8): 964-966.
[12]	ZOU Shuang, SONG Jianping, CHEN Hailian, ZHENG Linlin. Nursing care of a patient with acute myocardial infarction with euglycemic diabetic ketoacidosis complicated with cerebral hemorrhage [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 843-845.
[13]	XIE Shilong, LU Fangyan. Nursing care of a child with citrullinemia type Ⅰ undergoing liver transplantation complicated with chylorrhea [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 850-852.
[14]	FEI Ling, CHEN Xiuping, ZHANG Yi, YANG Ting, CHEN Zhihan, ZHU Jihua. Nursing care of a child with systemic lupus erythematosus treated with chimeric antigen receptor T-cells [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 853-855.
[15]	HU Mingqiang, LIU Ying, LIU Qiyan, ZHENG Mengke, LI Shanshan, YU Jing-jing, ZHANG Miaoqi, SUN Jiaan. The application of an information interaction system in the treatment of severe trauma patients within “1-hour trauma emergency circle” [J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 681-686.

Perioperative nursing care of a child undergoing left ventricular assist device bridging heart transplantation

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 11

Related Articles 15

Recommended Articles

Metrics

Comments