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Open MR-guided brain surgery nursing intervention


Weight, 4 days after the remission. 3.1 3 Preoperative nursing care of patients before surgery were generally tight, and you should do to explain patiently, psychological counseling work, to dispel their concerns. With patients and their families who were introduced to the surgical procedure and the requirements of the patient to explain the possible complications of surgery, so patients and their families to read and sign surgical protocol. Check the hepatitis 6, blood and coagulation 4; 6h preoperative fasting over water, and proper personal hygiene, the head skin preparation; half an hour before surgery or intramuscular injection stability 10rag luminal O. 1g; Prepare all the necessary medical records, image data and other information for the physician. Cleaning operation, the UV disinfection 2h; puncture device to ethylene oxide sterilization, such as a brachytherapy procedure, patients will be required before implantation of particles into the particle gun, parallel autoclavable; ready to pack and disposable sterile surgical needle matched needle and needle holder, empty needle (1Oml, 20m1), lead gloves, sterile gloves and sterile saline 500ml × 2 bottles,[link widoczny dla zalogowanych], 2% lidocaine 2, stable 10rag × 2 branch, 0. Yasuji iodine 2% cotton, 75% alcohol cotton balls and other salvage items. Preoperative measurement of patient temperature, blood pressure, respiration, pulse and record. 3.2 Intraoperative Care Shop disposable bed sheets, according to patient position gracefully required surgery, exposed to the puncture site, fixed multi coil. Intraoperative measurement of blood pressure, breathing, pulse, observing the patient's condition at any time, with the surgeon, transmission equipment, to assist fixed positioning of patients, 7 patients with intraoperative injection of contrast agent. 1 case of glioma patients after old women in the home who I particles occurs during seizures. Immediately stop operation, pull out the needle; keep the airway open, preventing apnea cephalometric,[link widoczny dla zalogowanych], and stability by your doctor to give 10rag slow intravenous injection, patients returned to normal after the oxygen 5min, 30min no further attacks after the operation to continue. After puncture, the wound with sterile gauze press 5lOmin, bleeding after the ball clearing the wound of alcohol, with the applicator bandage. Measurement of blood pressure, respiration, pulse returned to normal ward. Within 2h post-operative care after 3.3 per 15min measuring blood pressure, respiration, pulse 1, if no special change, measuring 1 to half an hour, even the 3h test remained unchanged, measuring 1 to 1h, until 10-12h. 6h after supine prohibited activities. Patient vital signs and close observation of movement and language function changes were observed in patients with body temperature of 3-7 days. Where appropriate according to the specific cases of postoperative inflammation, dehydration and hemostasis. Most patients had local wound pain, usually after 24h relief, a few last 2-3 days. For patients with mild pain that can not treated; such as pain tolerance in patients with more severe or worse, your doctor may use the analgesic, sedative drugs and psychological care, reduce fear and anxiety in patients. Close observation of vital signs,[link widoczny dla zalogowanych], if any, changes should immediately notify the physicians, and found that complications such as intracranial hemorrhage. 1 case of astrocytoma after radiation therapy were re-released particles set, postoperative headache, speech impairment and movement disorders temporary increase,[link widoczny dla zalogowanych], considering the postoperative edema or local damage caused by mannitol dehydration treatment, 4 days after the remission, existing condition has gradually reduced. Open MR-guided intervention of brain surgery is a safe and accurate new technology, but strictly according to routine nursing intervention operation is also an important guarantee for the success of operation.
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