Nursing Care and Treatment of Ambulatory Patients With Percutaneously Placed Axillary Intra-aortic Balloon Pump Before Heart Transplant

被引:5
|
作者
Macapagal, Frederick R. [1 ]
McClellan, Emma [1 ]
Macapagal, Rosario O. [2 ]
Green, Lisa [3 ]
Bonuel, Nena [4 ]
机构
[1] Houston Methodist Hosp, DeBakey Heart & Vasc Ctr, Cardiac Intensive Care Unit, Houston, TX USA
[2] Houston Methodist Hosp, DeBakey Heart & Vasc Ctr, Cardiovasc Intens Care Unit, Houston, TX USA
[3] Houston Methodist Hosp, DeBakey Heart & Vasc Ctr, Houston Methodist Res Inst, Houston, TX USA
[4] Harris Hlth Syst, Houston, TX USA
关键词
MECHANICAL CIRCULATORY SUPPORT; FAILURE; DYSFUNCTION; MANAGEMENT; THERAPY; BRIDGE;
D O I
10.4037/ccn2019729
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Transplant cardiologists in our hospital have performed the percutaneously placed axillary-subclavian intra-aortic balloon pump procedure since 2007. This procedure allows patients to mobilize and walk while they wait for a heart transplant, rather than remaining on bed rest as they would with a traditional femoral intra-aortic balloon pump. This procedure has presented challenges to the nursing staff. A 2007 literature search revealed no precedent or published nursing articles on this subject. This article reviews heart failure, medical treatments, complications of bed rest associated with the femoral intra-aortic balloon pump, the nursing challenges and unique problems of caring for patients with percutaneously placed axillary-subclavian intra-aortic balloon pumps, and our solutions for those challenges.
引用
收藏
页码:45 / 53
页数:9
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