Since December 2019, severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection has gradually spread all over the world. With the implementation of class B infectious disease management policy for coronavirus disease 2019 (COVID-19), China has experienced a pandemic. For patients receiving a time-sensitive or emergency surgery, SARS-CoV-2 infection may increase the risk of postoperative pulmonary complications. An appropriate perioperative mechanical ventilation strategy, such as lung protective ventilation strategy, is particularly important for preventing postoperative pulmonary complications in patients undergoing general anesthesia. In addition, how to protect medical personnel from being infected is also the focus we need to pay attention to. This article will discuss the perioperative mechanical ventilation strategy for COVID-19 patients and the protection of medical personnel, in order to provide reference for the development of guidelines.
Ablation therapy for pulmonary nodules is increasingly utilized as a crucial minimally invasive intervention for early lung cancer, yet a unified standard for its perioperative nursing care remains elusive. This review systematically synthesizes the essential aspects and recent advancements in perioperative nursing for pulmonary nodule ablation, aiming to provide evidence-based guidance for clinical practice. Through a comprehensive literature review from January 2023 to April 2026 across databases including CNKI, Wanfang, VIP, and PubMed, we identify that optimal perioperative nursing should integrate across the entire patient management continuum: preoperative care emphasizes comprehensive assessment, psychological counseling, and breathing and breath-holding training; intraoperative care focuses on environment and equipment preparation, patient positioning, vital sign monitoring, operational assistance, and emergency response; and postoperative care is centered on vigilant condition observation, meticulous management of common complications such as pneumothorax, hemorrhage, pain, and fever (with particular attention to skin frostbite in cryoablation), health education, and stratified follow-up. Differences in nursing considerations for various ablation modalities, including radiofrequency, microwave, and cryoablation, are also discussed. Evidence suggests that implementing standardized and holistic perioperative nursing significantly reduces complication risks, enhances patient recovery, and is vital for ensuring the safety and efficacy of ablation therapy. Future improvements should actively incorporate information-based follow-up, artificial intelligence for risk assessment, and multidisciplinary collaboration models to further elevate nursing quality and improve long-term patient prognoses.
