Nursing care of patients with acute myocardial infarction combined with acute left heart failure treated with PCI and ECMO

doi:10.3877/cma.j.issn.2095-5782.2020.04.018

Chinese Journal of Interventional Radiology(Electronic Edition) ›› 2020, Vol. 08 ›› Issue (04): 386-389. doi: 10.3877/cma.j.issn.2095-5782.2020.04.018

Special Issue: ；

• Interventional Nursing • Previous Articles Next Articles

Nursing care of patients with acute myocardial infarction combined with acute left heart failure treated with PCI and ECMO

Xiaoyue Yang¹, Jin Zhong², Yulan Zhou³, Yuan Guo², Jing Lin², Lihua Zhang⁴^,^†()

^1. Nursing Department, the Fifth Affiliated Hospital of Sun Yat-sen University, Guangdong Zhuhai 519000, China
^2. Intensive Care Unit, the Fifth Affiliated Hospital of Sun Yat-sen University, Guangdong Zhuhai 519000, China
^3. Obstetrics, the Fifth Affiliated Hospital of Sun Yat-sen University, Guangdong Zhuhai 519000, China
^4. Digestive Endoscopy Center, the Fifth Affiliated Hospital of Sun Yat-sen University, Guangdong Zhuhai 519000, China

Received:2020-09-05 Online:2020-11-25 Published:2020-11-25
Contact: Lihua Zhang
About author:
Corresponding author: Zhang Lihua, Email: 18825629232@163.com

Abstract

Abstract:

Objective

To summarize the nursing experience of percutaneous coronary intervention (PCI) combined with extracorporeal membrane oxygenation (ECMO) in patients with acute myocardial infarction complicated with acute left heart failure.

Method

A comprehensive analysis was performed on the status of the respiratory tract, fluid management effect, ECMO parameters, sedation and analgesia management effect, and pulse indicating continuous cardiac output monitoring (PICCO) parameters in patients with intraoperative acute myocardial infarction complicated with acute left heart failure in ICU after PCI combined with ECMO, and specialized and refined nursing plans were developed.

Result

No serious complications occurred in the 2 patients during their stay in ICU. ECMO was removed as planned (92-103) h later, and artificial airway was removed (163-214) h later. Both of them were transferred out of ICU to continue treatment on the 27^th and 34^th days respectively.

Conclusions

The use of refined liquid management strategy is important to maintain left cardiac function and improve the success rate of treatment. After ECMO removed, strengthening PICCO index monitoring is an important basis for early sedation and arousal activities.

Key words: Percutaneous coronary intervention, ECMO, Acute myocardial infarction, Acute left heart failure, Nursing

Xiaoyue Yang, Jin Zhong, Yulan Zhou, Yuan Guo, Jing Lin, Lihua Zhang. Nursing care of patients with acute myocardial infarction combined with acute left heart failure treated with PCI and ECMO[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2020, 08(04): 386-389.

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References 10

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