Clinical Q &amp; A: Translating Therapeutic Temperature Management from Theory to Practice

Bader, Mary Kay; Baumann, Julia; Figueroa, Stephen A.; Laux, Chris; Guanci, Mary; Mathiesen, Claranne; Livesay, Sarah

doi:10.1089/ther.2015.29002.mkb

Cited by 3 publications

(1 citation statement)

References 29 publications

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“…Moreover, the normal body temperature maintained by rewarming can maintain the activity of various coagulation factors, prothrombin and platelets to effectively reduce the amount of bleeding. It is consistent with the conclusion of Wavra et al 34 Emergency surgery for ATAAD is associated with high risk for PTSD because of high blood pressure and pre-existing diseases of…”

Section: Discussionsupporting

confidence: 92%

Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection

Li¹,

Zhou²,

Luo³

et al. 2021

IJGM

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Background To investigate the effect of the care bundle in the nursing care of the type A aortic dissection (TAAD). Methods A total of 161 patients with TAAD were included in the study. They were divided into control group (n=79) and care bundle group (n=82). The patients in the control group received routine nursing, while the patients in the care bundle group received routine nursing and care bundle. IL-2, IL-6 and IL-10 levels in the three periods of T0 (before anesthesia), T1 (before anesthesia to 6 h after surgery) and T2 (6–24 h after surgery), intraoperative blood loss, postoperative recovery, ICU stay time, intraoperative pressure ulcer rate, postoperative delirium rate, bloodstream infection rate and doctor satisfaction. Results The postoperative T and pH levels in two groups were all in the normal range. The levels of IL-2, IL-6 and IL-10 in the care bundle group at different periods were also significantly different. The levels of IL-2 and IL-10 showed an increased trend, while that of IL-6 showed a downward trend. The intraoperative blood loss, postoperative recovery and ICU stay time, intraoperative pressure sore rate, postoperative delirium rate, and bloodstream infection rate were lower, whereas doctor satisfaction was all significantly higher in care bundle group. Conclusion Care bundle increased the safety of the operation, and it was beneficial to the postoperative rehabilitation for TAAD patients. Relevance to Clinical Practice Patients with TAAD who underwent operation need higher quality care during the entire operation. Cluster nursing is the kind of the nursing model that can better meet the requirements of the intraoperative nursing quality. The intervention methods in this study include 5 core nursing measures. These measures are implemented together in a synergistic manner to effectively improve the quality of nursing care in operating room and the health outcomes of patients with TAAD. Care bundle is worthy of clinical application.

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Section: Discussionsupporting

confidence: 92%