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Enfermería en Cardiología

Enfermería en Cardiología

SEPTIEMBRE 2021 N° 84 Volumen 31

Nursing care for the new-born following surgical correction of transposition of major arteries

Section: Casos clínicos

Authors

Rita Rocío Márquez Díaz

Position

Grado en Enfermería. Enfermera del Hospital General Universitario Gregorio Marañón de Madrid.

Contact address

Rita Rocío Márquez Díaz. C/ Ronda de Segovia, 6. 28005 Madrid

Contact email: rociomard@hotmail.com

Abstract

Transposition of the great arteries is a congenital cardiac anomaly, in which the position of the pulmonary artery and the aorta is reversed. This paper presents the clinical case of a neonate with this pathology who underwent surgery with the arterial switch technique, which is the most frequently used in these cases, because it is associated with lower mortality and complication rates.

Upon arrival of the patient on the hospital ward, she presented a series of medical problems related to her cardiac pathology and surgical intervention, such as diaphragmatic paresis and chylothorax. Also, the needs of feeding, elimination, mobilization, sleep-rest and hygiene were compromised. The parents of the new-born participated in the care provided by nurses. In this sense, counselling on breastfeeding and performing massage as therapy for colic were key to their resolution. Clinical follow-up of these patients is essential to avoid short- and long-term sequelae. Additionally adequate nursing education regarding this type of heart disease is essential in order to meet the needs of this population.

Keywords:

nursing care; pediatric nurse; neonatology; congenitally corrected transposition of the great arteries; postnatal care

Versión en Español

Título:

Atención de enfermería ante el neonato intervenido de transposición de grandes arterias

Artículo completo no disponible en este idioma / Full article is not available in this language

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