单切口胸膜腔镜检查术的护理.pdfVIP

Nursing Science 护理学, 2014, 3, 56-60 Published Online July 2014 in Hans. /journal/ns /10.12677/ns.2014.33012 Nursing in Primary Surgical Pleuroscopy Cailing Yang, Li Wang, Junhui Meng, Ying Dang The First Affiliated Hospital, Medical College, Xi’an Jiaotong University, Xi’an Email: ycl008@163.com rd th th Received: May 23 , 2014; revised: Jun. 4 , 2014; accepted: Jun. 16 , 2014 Copyright © 2014 by authors and Hans Publishers Inc. This work is licensed under the Creative Commons Attribution International License (CC BY). /licenses/by/4.0/ Abstract [Objective] To investigate unexplained pleural effusion in patients without the need for anes- thesiologists care and domiciliary oxygen; to apply traditional methods based on local anesthesia and a small dose of midazolam-fentanyl intravenous injection for primary surgical pleuroscopy. [Methods] 50 patients were examined by nurses for routine aspect of health education, psychological counseling, patient preparation, maintenance drug and pleuroscopy set. 30 minutes prior to the pleuroscopy, local anesthesia was provided with 2% lidocaine (5 - 8 ml) + 0.1% adrenaline solution (0.2 - 0.3 ml); based on the patient’s age, weight and underlying disease a small dose of midazolam 2 - 3 mg, fentanyl 1 ug/kg intravenous injection was given as analgesia. Thoracic drainage care, prevention of re-expansion pulmonary edema, pain, fever, pleural hemorrhage, pleural air leaks, subcutaneous emphysema and other possible complications were taken care of intra-operatively; oxygen supplementation