Contemporary nursing care in transcatheter aortic valve replacement

Estes, Bailey; Kalra, Ankur

doi:10.1016/j.jvn.2018.08.001

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Zheng et al pointed out that nursing staff has an important role in the prevention, detection, and management of complications in TAVI (6). Estes et al (4) noted that the time immediately after valve implantation is the period in which nurses may exert their greatest impact, in particular in predicting and monitoring vascular complications, stroke, acute kidney injury, and new-onset atrial fibrillation. Furthermore, patients and families may have many questions regarding home care and activity restrictions at discharge; the nurses should listen carefully to all questions and concerns and be well prepared to answer questions and provide written information to facilitate recovery.…”

Section: Discussionmentioning

confidence: 99%

Conventional aortic valve replacement versus transcatheter aortic valve implantation: professional requirements for nurses

Jiang¹,

Hu²,

Wang³

et al. 2021

Ann Palliat Med

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Background: At present, the recommendation grade of transcatheter aortic valve implantation (TAVI) for aortic valve stenosis (AVS) has increased in many guidelines. Establishing an optimized TAVI nurse team is essential for improving surgical quality and outcomes. We compared the professional requirements for nurses in two surgical approaches for aortic stenosis and the different roles of nurses in the surgical teams, with an attempt to further improve the training programs for specialized nurses.Methods: The required professional knowledge and the role of nursing staff during TAVI or AVR (Conventional aortic valve replacement) were analyzed. These included knowledge on the pathophysiology of aortic stenosis, advantages and disadvantages of different heart valves, extracorporeal circulation, nursing cooperation during valve replacement, conventional surgical instruments and interventional consumables, surgical complications, radiation protection, operation of pacemakers, theory and operation of electric defibrillation. And the surgical team members and their roles, and doctor-patient satisfaction were also compared.Results: TAVI had higher requirements for the basic knowledge of the pathophysiology of aortic stenosis, advantages and disadvantages of different heart valves, extracorporeal circulation and theory and operation of electric defibrillation. And the clinical professional knowledge of conventional surgical instruments and interventional consumables, surgical complications, radiation protection, nursing cooperation, operation of pacemakers were also higher required in TAVI. Doctor-patient overall satisfaction were higher in TAVI than AVR (95.8% vs. 84.4%, 97.5% vs. 92.7%). Conclusions:The professional requirements for nurses differs between TAVI and AVR. Comprehensive programs should be designed to develop the basic knowledge and professional training for future cardiac operation.

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Section: Discussionmentioning

confidence: 99%

Conventional aortic valve replacement versus transcatheter aortic valve implantation: professional requirements for nurses

Jiang¹,

Hu²,

Wang³

et al. 2021

Ann Palliat Med

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“…These complications contribute to a prolonged hospital stay, complex post-procedure care and elevated healthcare costs. Nevertheless, the literature suggests a decreasing trend in the incidence of these complications, which could be attributed to improved patient selection, procedural protocol and techniques and operator skills (Chau and Williams, 2016;Estes and Kalra, 2018). That said, patients who undergo TAVI are typically older and more unwell, often with multiple comorbidities, so it is essential to acknowledge that efforts to decrease these complications may be limited (Estes and Kalra, 2018).…”

Section: Post-procedures Managementmentioning

confidence: 99%

“…Nevertheless, the literature suggests a decreasing trend in the incidence of these complications, which could be attributed to improved patient selection, procedural protocol and techniques and operator skills (Chau and Williams, 2016;Estes and Kalra, 2018). That said, patients who undergo TAVI are typically older and more unwell, often with multiple comorbidities, so it is essential to acknowledge that efforts to decrease these complications may be limited (Estes and Kalra, 2018). Conduction disturbances are caused by the proximity of the left ventricular outflow tract to the aortic valve and either trauma or compression by the bioprosthetic valve of the native conduction system.…”

Section: Post-procedures Managementmentioning

confidence: 99%

Transcatheter aortic valve implantation: an overview for nurses

Chamos

2022

British Journal of Cardiac Nursing

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Transcatheter aortic valve implantation is non-inferior to surgical aortic valve replacement in managing severe aortic stenosis. It has been the treatment of choice for patients who would be unsuitable for surgical aortic valve replacement. Patient selection and workup involves a rigorous process to ensure a successful outcome, and patient monitoring is crucial during and after the procedure. Nurses play an important role throughout these stages, so developing their understanding of the different processes involved in each step of the procedure is imperative. This article provides an overview of transcatheter aortic valve implantation, from patient selection and workup to peri-procedure, highlighting considerations for nurses across these stages. It includes the most relevant and recent literature on transcatheter aortic valve implantation for evidence-based nursing care, such as the monitoring of complications, early mobilisation and next-day discharge. Furthermore, it includes discussion of future considerations and research on transcatheter aortic valve implantation.

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