Nursing Care of a Case of Mediastinal Tumor Resection Combined with Postoperative Thoracic Hemorrhage after Video-assisted Thoracoscopic Surgery (VATS)

Authors

  • Min Tang National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China
  • Xiaohua Tang National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China
  • Yuqin Cui National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, 518116, China

DOI:

https://doi.org/10.30564/jor.v2i2.2473

Abstract

Objective: To summarize the nursing experience of a patient withpostoperative intrathoracic hemorrhage after thoracoscopic-assistedresection of the right upper mediastinal tumor through the original incision.Methods: Summarize the main points of nursing care of postoperativeintrathoracic hemorrhage after thoracoscopic mediastinal surgery, includingobservation and nursing when internal hemorrhage occurs after operation,respiratory management, activity management and pain managementmeasures. Result: After careful care, the patient recovered and dischargedsmoothly. Conclusion: It is particularly important to observe the overallobservation and take timely corresponding nursing measures for patientswith intrathoracic hemorrhage after thoracoscopic mediastinal surgery.

Keywords:

Mediastinal tumor, Postoperative thoracic hemorrhage, Nursing care

References

[1] Yun PJ, Huang TW, L1 YF, et al. Symptomatic pericardial schwannoma treated with video-assisted thoracic surgery: a case report[J]. J Thorac Dis, 2016, 8(5): 349-352.

[2] Fenglei Yu, Xiang Wang, Mingjiu Chen, et al. Surgical treatment analysis of 109 fatal hemorrhages in 5267 cases of general thoracic surgery[J]. Chinese Physician Journal, 2005, 3(7).

[3] Xin Geng, Zhanhao Liu, Ming Huang. Full thoracoscopic surgery to remove primary mediastinal tumors[A]. Modern Instruments and Medical Care, 2017, 23(2): 18-19.

[4] Dehua Ma, Chengchu Zhu. Analysis of 11 cases of reoperation to stop bleeding after video-assisted thoracoscopy[J]. Journal of Clinical Surgery, 2006, 11(2).

[5] Cardillo G1, Carleo F, Khalil MW, et al. Surgical treatment of benign neurogenic tumours of the mediastinum: a single institution report EJ]. Eur J Cardiothorac Surg, 2008, 34(6): 1210-1214.

[6] Yu Duan, Yujun Wang, Yuanchun Long. Nursing experience of closed thoracic drainage[B]. Frontiers of Medicine, 2015, 5(18).

[7] Chinese Medical Association Thoracic and Cardiovascular Surgery Branch. Expert consensus on prevention and treatment of perioperative bleeding in thoracic surgery[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 34(6).

[8] Huihui Cao, Xi Xiao, Hui Meng. Evaluation and treatment progress of intrathoracic hemorrhage in general thoracic surgery[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(8): 640-643.

[9] Critical Care Medicine Branch of Chinese Medical Association. Guidelines for Resuscitation of Hypovolemic Shock (2007)[J]. Chinese Critical Care Medicine, 2008, 20(3): 129-134.

[10] Rady MY, Nightingale P, Little RA, Edwards JD. Shock index: a reevaluation in acute circulatory failure. Resuscitation. 1992, 23: 227-234.

[11] Chad M. Cannon, MD, Carla C et al. Utility of the Shock Index in Predicting Mortality in Traumatically Injured Patients[J] Trauma, 2009, 67: 1426-1430.

[12] Yanjie Hu, Hongqin Liu. Observation and nursing care of intrathoracic hemorrhage after thoracoscopic esophageal cancer resection[J]. Health Research, 2013, 33(3).

[13] Hang Hu, Hongqin Liu, Yingyan Yao. Nursing care of 30 lung cancer patients with intrathoracic hemorrhage after pneumonectomy[J]. Journal of Nursing, 2012, 19(8A).

[14] Kendall F, Abreu P, Pinho P, et al. The role of physiotherapy in patients undergoing pulmonary surgery for lung cancer. Aliterature review. Rev Port Pneumol, 2017, 23(6): 343-351.

[15] Bhatt NR, Sheridan G, Connolly M, et al. Postoperative exercise training is associated with reduced respiratory infection rates and early discharge: A case-control study. Surgeon, 2017, 15(3): 139-146.

[16] Cassidy MR, Rosenkranz P, McCabe K, et al. I COUGH: reducing postoperative pulmonary complications with a multidisciplinary patient care program. JAMA Surg, 2013, 148(8): 740-745.

[17] Thoracic Surgery Professional Committee of China Medical Foundation. Chinese expert consensus on lung protection during perioperative period of thoracic surgery (2019)[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2019, 26 (9).

[18] Liu Xin, Zhang Hong, Chen Lan. The design of the domestic peripheral operation breathing training device[J]. China Tissue Engineering Research and Clinical Rehabilitation, 2010, 14(48).

[19] Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA. Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain, 2012, 28: 819-41.

[20] A Clinical Practice GuidelineFrom the American Pain Society. Guidelines on the Management of Postoperative Pain[J]. The Journal of Pain, 2016, 17(2).

[21] Guidelines for postoperative analgesia after SFAR in 2019.

[22] Peterffy A, Henze A. Haemorrhagic complications during pulmonary resection. A retrospective review of 1428 resections with 113 haemorrhagic episodes[J]. Scand J Thorac Cardiovasc Surg, 1983, 17(3): 283-287.

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How to Cite

Tang, M., Tang, X., & Cui, Y. (2020). Nursing Care of a Case of Mediastinal Tumor Resection Combined with Postoperative Thoracic Hemorrhage after Video-assisted Thoracoscopic Surgery (VATS). Journal of Oncology Research, 2(2), 31–35. https://doi.org/10.30564/jor.v2i2.2473

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Article Type

Reviews