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Enfermería en Cardiología

Enfermería en Cardiología

MAYO 2024 N° 90 Volumen 34

MITRAL VALVE REPLACEMENT via robotic surgery Dirección para correspondencia

Section: Casos clínicos

How to quote

DOI: https://doi.org/10.59322/90.6070.AO9

Authors

Judith Prats Barrera1, Patricia Santos López2, Elena Querol Vallés3, Soraya Arenas Casado2

Position

  • RN, MSN, Hospital Clínic Barcelona, Instituto Clínico Cardiovascular. Coordinadora asistencial de la Unidad de Hospitalización de Cirugía Cardiovascular.
  • RN, MSN, Hospital Clínic Barcelona, Instituto Clínico Cardiovascular. Enfermera de la Unidad de Hospitalización de Cirugía Cardiovascular.
  • RN, MSN, Hospital Clínic Barcelona, Instituto Clínico Cardiovascular. Enfermera clínica del Instituto Clínico Cardiovascular.

    • Contact address

    Judith Prats Barrera Hospital Clínic Barcelona, C/ Villarroel, 170. Esc 3, planta 3 08036 Barcelona

    Abstract

    Introduction. Cardiac surgery has evolved toward less invasive procedures until reaching robotic cardiac surgery, which was initiated in our center in November 2019. This type of surgery, among other benefits, favors early recovery (especially if associated with enhanced recovery programs) allowing shorter hospital stays, reducing costs, and improving the experience of patients and relatives.

    Clinical observation. We present the case of a 60-year-old woman who underwent mitral valve replacement by robotic cardiac surgery. Nursing assessments were performed according to Marjory Gordon‘s functional patterns and NANDA-NOC-NIC taxonomy.

    A first assessment in the high-dependency unit, showed alterations in patterns 2 to 7, with acute pain, ineffective respiratory pattern, and insomnia being the most relevant nursing diagnoses. She presented hypovolemia and infection as collaborative problems and a right mid-apical extrapleural hematoma as the most relevant complication.

    In the hospitalization unit, a second evaluation showed alterations in patterns 2 to 6 with nausea, anxiety, and constipation as the most relevant diagnoses; she presented arrhythmia as a collaboration problem.

    Discussion. Robotic cardiac surgery reduces postoperative complications and length of stay. However, it is not free from complications. Professionals need to be familiar with the surgical technique and the problems that may arise from it.

    It is also important to involve patients and relatives before the procedure, making sure they are aware of the characteristics of the procedure and the recovery times to favor a satisfactory experience.

    Keywords:

    Cardiovascular Surgical Procedures; thoracoscopy; Cardiovascular Nursing; Enhanced Recovery After Surgery; Robotic Surgical ProceduresCritical Care Nursing

    Versión en Español

    Título:

    SUSTITUCIÓN DE VÁLVULA MITRAL por cirugía cardiaca robótica

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

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