Journal of Perioperative & Critical Intensive Care Nursing
Open Access
ISSN: 2471-9870
+44-20-4587-4809
ISSN: 2471-9870
+44-20-4587-4809
Short Communication - (2020)
The unending coronavirus disease 2019 (COVID-2019) epidemic has brushed all over the world, posturing an excessive pressure on critical care resources due to huge number of patients needing critical care. Announcements from front-line specialists in the arena of intensive care are immediately wanted. Each skilled was allocated responsibilities within their arena of expertise to provide draft declarations and justification. Parts of the skillful statement are based on epidemiological and clinical evidence, deprived of existing systematic evidences. A comprehensive text with 46 statements are obtainable, including defense of medical personnel, etiological treatment, diagnosis and treatment of tissue and organ functional impairment, psychological interventions, immunity therapy, nutritional support, and transportation of critically ill COVID-19 patients. There are still no beleaguered treatments for COVID-19 patients. Dynamic monitoring and supportive action for the refurbishment of tissue vascularization and organ function are particularly significant. Some detailed issues about the nutrition of the COVID-19 patients in the ICU must be highlighted. We suggest a flow chart and ten key issues for enhancing the nutrition management of COVID-19 patients in the ICU.
Psotoperative care; Hear surgery; Care plan; Surgical operation.
Surgery on the heart muscle, valves, arteries, or the aorta and other large arteries connected to the heart is called Heart surgery, also called as Cardiac surgery or cardiovascular surgery. This surgery is performed by cardiologists and cardiac surgeons. All the heart related problems do not require surgery. Sometimes, they can be overcome by changing the lifestyle, medications or non surgical procedures. Nowadays, many of the heart surgeries are being done on the heart through smaller cuts. Symptoms for heart or cardiovascular problems may differ for women and men, also different for types of heart disease. Majority of people have symptoms like chest pain shortness of breath and fainting.
Some common types of heart surgery are as follows: Coronary artery bypasses grafting (CABG), Heart valve repair or replacement, Insertion of a pacemaker or an implantable cardioverter defibrillator (ICD), Maze surgery, Aneurysm repair, Heart transplant, Insertion of a ventricular assist device (VAD) or total artificial heart (TAH) [1].
Daily several people undergo open heart surgery across the world and survival rate is also high. It takes more weeks’ time to heal the patient’s body from heart surgery. Open heart surgery is a major operation that requires close monitoring and immediate postoperative support. Postoperative period begins with the patient’s admission to the postanesthesia care unit (PACU) and ends oncae the anesthesia has worn off enough for the patient to be safely transferred to the appropriate nursing unit. It is normal for a person to remain in the intensive care unit (ICU) for a couple of days after the procedure to receive further care [2].
Postopeartive care by professional nurse plays major role for heart surgery patients for their speedy recover. It includes monitoring vital signs, airway patency, neurologic status; managing pain; assessing the surgical site; assessing and maintaining fluid and electrolyte balance; and providing a thorough report of the patient’s status to the receiving nurse on the unit, as well as the patient’s family. Each patient care space is supplied with a blood pressure monitoring device, cardiac monitor, pulse oximeter, oxygen, airway management equipment, and suction [3]. After heart surgery, patients experience tiredness and pain which is common, gradually regain strength over the following month. If patient feels difficulty breathing, fever, and excessive sweating consider as serious infection and advised to seek urgent care. The patient will be discharged from hospital once the patient condition is stable and free from all complicated symptoms. Recovery time may vary from patient to patient and type of the surgery.
After surgical operation patient has to undergo postoperative care and ends by discharging from the hospital. Sometimes, patients require additional care it may continue at home depends on type of surgery and health issues of the patient. Apart from regular checkups patient should do exercise and taking proper food as suggested by doctors. It can conclude that each patient should undergo good and qualified nurse postoperative care in order to their recovery. In addition, the patient must follow the instructions given by surgeons for their healthy and long life.
Citation: Patra SS (2020) ICU Care for COVID-19 Patients. J Perioper Crit Intensive Care Nurs S1: 153. doi: 10.35248/2471-9870.20.S1.153.
Received: 18-Jul-2020 Accepted: 26-Jul-2020 Published: 31-Jul-2020 , DOI: 10.35248/2471-9870.20.S1.153
Copyright: © 2020 Patra SS. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.