RESUMO
The landscape of cardiac surgery is changing. Advances in endoscopic and other instrumentation procedures such as port access, video instrumentation, and computer-assisted technology are opening new vistas for cardiac surgery. On the immediate horizon is minimally invasive cardiac surgery, also known as keyhole surgery. Imagine a patient not needing a median sternotomy incision or cardiopulmonary bypass. This new type of cardiac surgery is currently being explored at some cardiac surgical centers internationally. This article explores the current state-of-the-art related to minimally invasive direct coronary artery bypass surgery. The operative procedure, implications for perioperative nursing care, likely future technologies, and the research literature on outcomes are also discussed.
Assuntos
Procedimentos Cirúrgicos Cardíacos/enfermagem , Procedimentos Cirúrgicos Cardíacos/tendências , Ponte de Artéria Coronária/enfermagem , Ponte de Artéria Coronária/tendências , Endoscopia/enfermagem , Endoscopia/tendências , Implante de Prótese de Valva Cardíaca/enfermagem , Implante de Prótese de Valva Cardíaca/tendências , Humanos , Procedimentos Cirúrgicos Minimamente Invasivos/enfermagem , Procedimentos Cirúrgicos Minimamente Invasivos/tendências , Resultado do TratamentoRESUMO
The complication of mediastinitis has important implications for nurses. This article describes the case of a man who developed a sternal wound infection following coronary artery bypass surgery. Nursing care is discussed and is summarized in care plans for the diagnoses Ineffective Breathing Pattern, Impaired Skin Integrity, and Ineffective Coping. Expert nursing care resulted in hospital discharge approximately two months after admission.