Authors

1Isabel Mª Pujol Jiménez, 2Joana Ramón Castany, 3Montse Estévez Atienza

Position

¹Diplomada en Enfermería. Postgrado en Enfermera Quirúrgica. Hospital de la Santa Creu i Sant Pau, Barcelona.²Diplomada en Enfermería. Hospital de la Santa Creu i Sant Pau.³Enfermera de Unidad de Cuidados Intensivos Generales. Hospital de la Santa Creu i Sant Pau.

Contact address

C/ Itaca, nº 1, 1º-2ª. 08391 Tiana, Barcelona.

Contact email: ipujol@santpau.cat

Abstract

Lung surgery entails an important surgical risk, with mortality ranging between 5% and 20%, due to the fact that the opening of the thoracic cavity, in itself, constitutes and intervention with systemic repercussions.
In order to improve the outcome in patients who have undergone this procedure and to facilitate adjustment to their new life after the operation, a nursing care plan has been elaborated. This plan takes into account the physical and emotional state of the patient and the need for educational learning.
Nursing care guidelines and principles during the preoperative and postoperative stages as well as the importance of assessing and controlling signs and symptoms, drainage lines, and catheters are described for the prevention and early detection of complications.
The paper includes a specific section on the relevance of pain management during the postoperative course and its association with potential complications of the surgical procedure as well as postoperative instructions for the patient to follow at the time of discharge.

Keywords:

thoracic surgery; lung resection; complications; pain; nursing caremedical-surgical Nursing

Versión en Español

Título:

Cuidados enfermeros del paciente con resección pulmonar