A male patient (64 years old), suffering from acute myocardial infarction, with a 100% mortality risk, has been successfully intervened by the medical staff of the Cardiovascular Resuscitation Department, 108 Military Central Hospital by ECMO method. awake”.
ECMO is a method that uses circulation and oxygen exchange outside the body, to support life function in patients with circulatory or severe respiratory failure. The goal of ECMO is to give the heart and lungs time to rest and recover.
In the past, ECMO was often used at a relatively late stage, when the patient was very sick (requiring sedation, mechanical ventilation). But with this case, the doctors were one step ahead, using ECMO to “wake up” while the patient was still breathing for cardiovascular intervention.
With this method, the patient only needs local anesthesia, is fully awake during the surgical intervention, can talk to the doctor and inform the doctor about the changes of his body for timely treatment. . ECMO has helped this person’s heart rest, ensure blood perfusion to the organs, doctors have time to treat cardiovascular diseases.
Thanks to that, the 60-year-old patient was saved. Besides the role of doctors in the intervention process for patients, it is indispensable for the efforts of nurses.
For a patient with a history of hypertension, diabetes, kidney failure, the nurses of the Cardiovascular Resuscitation Department must closely monitor hemodynamics to ensure hemodynamics, detect abnormalities such as hypotension, coagulation, etc. Patients are also guaranteed aseptic work to avoid sepsis accidents, ensure other functions such as respiratory, digestive …
After being intervened by ECMO method “waking up”, the patient escaped the “death door” but still had a feeling of shock and anxiety. He was regularly encouraged by nurses to reduce his fear of being full of invasive devices.
“For a long time, nurses have to perform both medical care and spiritual care, thereby helping patients overcome psychological pressure and quickly recover”, Nurse Ngo Hoai Thu – Department of Cardiovascular Resuscitation, 108 Central Military Hospital, shared.
It can be said that nursing always plays an important and necessary role, contributing to the success of patient care and treatment. That is the content confirmed at the Workshop with the theme “Intensive resuscitation nursing with cardiovascular disease”, on October 25, at 108 Military Central Hospital.
At this seminar, Assoc. Prof. Dr. Le Van Truong – Director of the Institute of Cardiology, 108 Central Military Hospital, said that nursing work is stressful. “In order to take care of patients Cardiovascular resuscitation, nurses must use their knowledge and skills to help patients overcome pain and illness and take care of them mentally throughout the treatment process.” .
Also at the seminar, commenting on the role of nursing, Prof. Dr. Nguyen Duc Trong – Thang Long University, affirmed: “Nursing is an important link of health care work, affecting health care. It has a great impact on the quality of treatment, especially nurses in departments with serious patients who need comprehensive care such as the Department of Resuscitation”.
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According to statistics of the Vietnam Nursing Association, in 2020, there will be more than 140,000 nurses/midwives nationwide, accounting for nearly 50% of the health workforce, providing regular and continuous services of the health sector. The nursing rate in Vietnam is currently 11.4 nurses per 10,000 people, much lower than the world average. In order to reach the rate of qualified nurses, to better meet the medical care needs of the people, Vietnam needs 2.3 times more than the number of nurses available. |
An Ngoc
