超级肥胖患者腹腔镜代谢手术的手术室护理操作要领

目的 探讨超级肥胖患者腹腔镜代谢手术中手术室护理操作要领.方法 分析我院2016年1月至2020年1月实施的30例超级肥胖患者的腹腔镜代谢手术的手术室中遇到的相关风险因素与采取的相应解决措施,提出较安全、精准、完善的超级肥胖患者手术室护理操作要领.结果 通过处理导尿困难、外周静脉穿刺及中心静脉置管困难、血压监测困难、体...

Operating room risk management strategies for laparoscopic metabolic surgery in super obese patients

ObjectiveThe project is conducted to explore risks, characteristics and countermeasures during laparoscopic metabolic surgery for super-obese patients at operating rooms. MethodsRelevant risk factors and countermeasures arising from laparoscopic metabolic surgery for 30 super-obese patients at operating rooms of the hospital between January 2016 and January 2020 were studied. On this basis, safe, accurate and perfect operating room risk controlling and management schemes were proposed. ResultsCountermeasures and management patterns, designed to minimize operating room risks during laparoscopic metabolic surgery for super-obese patients, ensure smooth progress of operation and reduce periprocedural complications, were established through effective countermeasures for problems with urethral catheterization, peripheral venipuncture, central-vein catheterization,blood pressure monitoring, body positioning and immobilization as well as other problems with operating room nursing. ConclusionsCompared with patients of average weight, super-obese patients will face much more operation room management risks. The treatment with operation room risks, effective control of relevant nursing risks and the establishment of improved management patterns will contribute to smooth surgical progress, minimize operation-related complications and ensure the success of laparoscopic metabolic surgery for weight loss.