Society for Vascular Nursing—Carotid endarterectomy (CEA) updated nursing clinical practice guideline

Rich, Kathleen; Treat‐Jacobson, Diane; DeVeaux, Theresa; Fitzgerald, Karen; Kirk, Lars; Thomson, Lily; Foley, Anne; Hill, Debbie

doi:10.1016/j.jvn.2017.03.004

“…The results of a study by Sanson et al [ 18 , 19 ] indicated that interventions using standardized nursing processes in patients with severe heart failure can effectively increase the efficiency of patient resuscitation and improve the quality of life and recovery of cardiac function. The results of a study by Rich et al [ 20 ] indicated that the use of standardized nursing processes in carotid stenosis stenting was effective in improving the relationship with patients and increasing satisfaction. All are consistent with the findings of this paper.…”

Section: Discussionmentioning

confidence: 99%

Nursing Skill Assessment of Hospital Nurses in Management of Critically Ill Patients

Xu

¹

,

Sun

²

,

Feng

³

et al. 2022

Applied Bionics and Biomechanics

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Objective. To analyze the application of standardized nursing procedures in critically ill patients’ nursing evaluation. Methods. 90 cases of critically ill patients aged from 18 to 65 who were treated in our hospital from April 2020 to April 2021 were selected and divided into the control group and observation group, respectively, with 45 cases according to the drawing method. The rescue time, blood pressure, heart rate before and after nursing, adverse mood, length of stay, incidence of adverse events, ICU transfer and death, and satisfaction of 2 groups were statistically analyzed and compared. Results. The rescue time of cardiopulmonary resuscitation, oxygen inhalation, venous opening, and endotracheal resuscitation in the observation group was 3.24 ± 1.01 , which is lower than that in the control group, 6.65 ± 2.11 , with statistical significance ( P < 0.05 ). Similarly, the vital signs in the observation group were 2.45 ± 0.44 , which is also significantly lower than that in the control group, 5.67 ± 1.56 . After nursing, the blood pressure and heart rate in the observation group were lower than those in control group, with statistical significance ( P < 0.05 ). The adverse mood of the observation group after nursing was lower than that of the control group, with statistical significance ( P < 0.05 ). The length of stay, incidence of adverse events, intensive care unit (ICU) transfer, and death in the observation group were lower than those in the control group, with statistical significance ( P < 0.05 ). The length of stay in the observation group was 8.87 ± 2.11 , while 11.34 ± 2.45 in the observation group. The incidence of adverse events in the observation group was 1, while 8 in the observation group. The length of stay in the observation group was 8.87 ± 2.11 , while 11.34 ± 2.45 in the observation group. The ICU transfer in the observation group were 2, while 9 in the observation group. There was no death in the observation group, however, 4 in the observation group. Nursing satisfaction in the observation group was higher than that in the control group, with statistical significance ( P < 0.05 ). The number of patients that are very satisfied in the observation group was 28, while 20 in the control group. The number of patients that are satisfied in the observation group was the same as in the control group, both 15. However, the number of patients that are dissatisfied in the observation group was 2, while 10 in the control group. Conclusion. The application of the standardized nursing process in the nursing of critically ill patients can not only effectively reduce the self-rating anxiety scale (SAS) and sarcoidosis diagnostic score (SDS) of patients but also reduce the incidence of complications and improve the nursing satisfaction of patients.

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“…The common clinical solution is to remove the plaque via carotid endarterectomy (CEA) surgery [ 1 ], with approximately 100,000 CEAs performed in the United States each year [ 2 – 4 ]. There are few approaches for postsurgery closure [ 5 ], and the preferred closure technique still remains an issue of debate [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…There are several types of patches such as prosthetic patches (woven Dacron or PTFE), venous patches, and biomaterial patches (bovine pericardium) [ 6 , 21 ]. Vein patch is considered the preferred one, thanks to its high compliance and biocompatibility [ 14 ]; its main disadvantage is the need for an additional incision to obtain it and occasional deterioration with aneurysmal dilatation and rupture [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…The advantages of prosthetic patches include immediate availability, avoidance of additional incision, and preservation of vein for future use in other cardiovascular operations. The main shortcomings of the prosthetic patches are higher thrombogenicity, increased risk for infection [ 22 ], and higher risks for infections [ 6 ]. Bovine pericardium patches recently proved high durability and better long-term survival rates, compared to the other patches [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…Bovine pericardium patches recently proved high durability and better long-term survival rates, compared to the other patches [ 23 ]. Overall, despite the preference of using biological patches, the clinical results with most available synthetic patches are currently similar enough to prevent clear recommendation of any particular one [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Biomechanical Aspects of Closing Approaches in Postcarotid Endarterectomy

Avrahami

¹

,

Raz

²

,

Bash

³

2018

Computational and Mathematical Methods in Medicine

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The carotid bifurcation tends to develop atherosclerotic stenoses which might interfere with cerebral blood supply. In cases of arterial blockage, the common clinical solution is to remove the plaque via carotid endarterectomy (CEA) surgery. Artery closure after surgery using primary closures along the cutting edge might lead to artery narrowing and restrict blood flow. An alternative approach is patch angioplasty which takes longer time and leads to more during-surgery complications. The present study uses numerical methods with fluid-structure interaction (FSI) to explore and compare the two solutions in terms of hemodynamics and stress and strain fields developed in the artery wall.

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Tools for evidence-based vascular nursing practice: Achieving information literacy for lifelong learning

Jameson

¹

,

Walsh

²

2017

Journal of Vascular Nursing

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Society for Vascular Nursing—Carotid endarterectomy (CEA) updated nursing clinical practice guideline

Cited by 4 publications

References 97 publications

Nursing Skill Assessment of Hospital Nurses in Management of Critically Ill Patients

Nursing Skill Assessment of Hospital Nurses in Management of Critically Ill Patients

Biomechanical Aspects of Closing Approaches in Postcarotid Endarterectomy

Tools for evidence-based vascular nursing practice: Achieving information literacy for lifelong learning

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