การพยาบาลผู้ป่วยหลังผ่าตัดทำทางเบี่ยงหลอดเลือดหัวใจในระยะวิกฤตที่เกิดภาวะแทรกซ้อน ในระบบทางเดินหายใจ

Maliwan Arthan

Authors

Maliwan Arthan Vachira Phuket Hospital, Mueang, Phuket Province

Keywords:

Coronary Arteries Bypass Graft, , Respiratory Complications, , Critical Care Nursing, , Case Study

Abstract

Introduction: Coronary artery bypass grafting (CABG) is a treatment for patients with coronary artery disease who are at high risk of complications, particularly respiratory complications during the critical postoperative phase. These complications can affect hospital stay duration and the patient's quality of life. Nurses play a crucial role in monitoring, assessing, planning, and providing comprehensive and continuous care to promote recovery and reduce complications.

Objective: To compare nursing care for 2 patients with coronary artery disease after coronary artery bypass graft surgery with respiratory complications.

Methodology: This article presents a descriptive comparative case study of two patients who underwent CABG and developed respiratory complications from different causes and pathologies.

Results: Case 1 involved a 56-year-old man who experienced cardiogenic shock and respiratory infection, requiring mechanical ventilation for 5 days. Case 2 involved a 71-year-old woman with multiple comorbidities who developed respiratory failure due to chronic obstructive pulmonary disease (COPD), required prolonged ventilation, and later underwent tracheostomy. Both patients had similar degrees of coronary artery blockage but differed in age, underlying diseases, and ability to wean from mechanical ventilation.

Conclusion: The study highlights the importance of individualized and holistic nursing care plans to prevent and manage postoperative complications effectively. It provides a framework for enhancing nurses’ competencies and improving the quality of care for CABG patients.

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