Perioperative Haemodynamic Monitoring In Cardiac Surgical Patients & Nurse Interventions: Policy Review

Evangelia Charalampidou1, Lila Papadimitriou2

1. Associate head nurse of Anaesthesia, Onassis Cardiac-Surgery Centre Athens, Candidate of Master degree in Cardiorespiratory Resuscitation (CPR), Medical School, University of Athens,Athens.
2. PhD,Associate Professor of Anaesthesia, University of Athens, Medical School,Athens.

ABSTRACT

This paper stresses the role of the anaesthesiology nurse in the monitoring of the patients’ haemodynamic status. As a Policy review it focuses on nursing practice, in the cardioanaesthesiology department. Pubmed search keys were <Anaesthesia nursing care>, <Electrocardiogram >, <Haemodynamic monitoring >, <Invasive pressure, Non- invasive pressure>,<Pulse oxymetry>,<Pulmonary artery catheter>, <Transesophageal echocardiography>.Out of the one hundred twenty five papers were found, fifty were included in this review. Exclusion criteria were non- English papers and publication date later than 1993. Results:The preparation and the management of all the necessary equipment, which will be used during the operation and the procedures for the monitoring of the electrocardiogram (ECG), the pulse oxymetry (Sp02), the arterial blood pressure (AP)-invasive and non invasive method- as well as the introduction of the pulmonary artery catheter (PAC) and the transesophageal echocardiogram (TEE) are aforementioned. The interpretation and dealing with the data and the detection and prevention of possible complications as part of the nurses’ work are understressed. Conclusion: The anaesthesiology nurse works on models of expert nursing care by providing optimal quality services for the greater safety of the cardiac surgical patient.

Key words: Anaesthesia nursing care, Electrocardiogram, Haemodynamic monitoring, Invasive pressure , Non-invasive pressure, Pulse oxymetry, Pulmonary artery catheter, Transesophageal echocardiography

Statements of:

What is already known about the topics?

  • The existence of an ill recognized anaesthesia nurse skill
  • Existence of various monitoring methods

What does this paper add?

  • Nursing role in the preparation of the operating theatre.
  • Nursing role in the advanced monitoring of the anaesthetized patients.
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