Nursing to Avoid Rupture of Intracranial Aneurysm during Induction of Anesthesia_West China Medical Journal

Authors：

 ZhiLujun , ChengHua ,  GongRenrong

Operation Theater, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

GongRenrong, Email: gongrenrong@163.com

Keywords：

Intracranial aneurysm; Induction of anesthesia; Nursing; Observation of patients' condition

DOI：

10.7507/1002-0179.201600296

Video：

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Objective To explore the nursing method to avoid rupture of intracranial aneurysm during induction of anesthesia. Method We retrospectively analyzed the nursing method for 428 patients with aneurysm during the induction of anesthesia between October 2012 and October 2013. According to the causes of rupture of intracranial aneurysm (anxiety, tension, excitement, sudden elevation of blood pressure, physical labor), we adopted nursing methods to avoid those causes, and implemented targeted nursing methods during induction of anesthesia. Results No intracranial aneurysm rupture occurred in these 428 aneurysm patients during induction of anesthesia. Two patients' absolute value of systolic blood pressure was below 80 mm Hg (1 mm Hg=0.133 kPa) during induction of anesthesia, and the vital signs of other patients kept normal. The number of intraoperative rupture cases was 3. When discharged from hospital, there were 385 patients with good prognosis, 39 patients with bad prognosis, and 4 death cases. Conclusions Targeted nursing method based on patients' particular situation during induction of anesthesia can effectively control patients' emotion, stabilize fluctuations in hemodynamic indexes, decrease the incidence of aneurysm rupture, improve surgery treatment effect of intracranial aneurysm clipping, decrease complications, and improve patients' prognosis.

Citation： ZhiLujun, ChengHua, GongRenrong. Nursing to Avoid Rupture of Intracranial Aneurysm during Induction of Anesthesia. West China Medical Journal, 2016, 31(6): 1097-1099. doi: 10.7507/1002-0179.201600296 Copy

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2. 周良輔. 現代神經外科學[M]. 上海:復旦大學出版社, 2001: 804-814.
3. 郭付有, 游潮, 孫鴻, 等. 腦動脈瘤破裂的早期手術治療探討[J]. 中國急救醫學, 2003, 23(5) :344.
4. 李菊花, 任興珍. 顱內動脈瘤夾閉術的圍手術期護理[J]. 江蘇醫藥, 2009, 35(1) :123.
5. 許百男, 周定標, 余新光, 等. 顱內后循環動脈瘤的手術治療[J]. 中華神經外科雜志, 2002, 18(3) :142-144.
6. 王亞林, 張永忠. 可脫性球囊導管栓塞術治療顱內巨大動脈瘤的護理[J]. 護理雜志, 2003, 38(6) :439-440.
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8. 高宏偉. TCD在高血壓性腦出血患者脫水治療中的應用[J]. 山東醫藥, 2006, 46(28) :66.
9. 賈崢. 重癥高分級顱內動脈瘤患者1例的護理[J]. 解放軍護理雜志, 2005, 22(5) :94.
10. 騰如陽, 李瑜, 張林, 等. 全麻誘導期間急性高容量血液稀釋對老年病人血液動力學的影響[J]. 中華麻醉學雜志, 2007, 27: 1052-1053.
11. 王煒, 呂芳, 曹國新, 等. 麻醉誘導期間輸注乳酸林格氏液或羥乙基淀粉氯化鈉注射液擴容效應的觀察[J]. 中國現代醫學雜志, 21(9) :2674-2680.
12. 任素霞, 安虹. 靜脈輸液者首次排尿時間與排尿次數的觀察[J]. 中國冶金工業醫學雜志, 2003, 20(1) :65-66.
13. 李恒林, 王大柱. 神經外科麻醉實踐[M]. 北京:人民衛生出版社, 2004:262-348.
14. 時忠華, 蔡學見, 王玉海, 等. 顱內動脈瘤術后并發癥對其預后的影響[J]. 中華神經外科疾病研究雜志, 2007, 6(2) :115-117.
15. Yoshikai S, Nagata S, Ohara S, et al. A retrospective analysis of the outcomes of patients with aneurysmal subarachnoi dhemorrhages: a focus on the prognostic factors[J]. Noshinkeigeka, 1996, 24(8) : 733-738.

West China Medical Journal

Nursing to Avoid Rupture of Intracranial Aneurysm during Induction of Anesthesia

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