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. 周良辅. 现代神经外科学[M]. 上海:复旦大学出版社, 2001: 804-814.
3. 郭付有, 游潮, 孙鸿, 等. 脑动脉瘤破裂的早期手术治疗探讨[J]. 中国急救医学, 2003, 23(5) :344.
4. 李菊花, 任兴珍. 颅内动脉瘤夹闭术的围手术期护理[J]. 江苏医药, 2009, 35(1) :123.
5. 许百男, 周定标, 余新光, 等. 颅内后循环动脉瘤的手术治疗[J]. 中华神经外科杂志, 2002, 18(3) :142-144.
6. 王亚林, 张永忠. 可脱性球囊导管栓塞术治疗颅内巨大动脉瘤的护理[J]. 护理杂志, 2003, 38(6) :439-440.
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8. 高宏伟. TCD在高血压性脑出血患者脱水治疗中的应用[J]. 山东医药, 2006, 46(28) :66.
9. 贾峥. 重症高分级颅内动脉瘤患者1例的护理[J]. 解放军护理杂志, 2005, 22(5) :94.
10. 腾如阳, 李瑜, 张林, 等. 全麻诱导期间急性高容量血液稀释对老年病人血液动力学的影响[J]. 中华麻醉学杂志, 2007, 27: 1052-1053.
11. 王炜, 吕芳, 曹国新, 等. 麻醉诱导期间输注乳酸林格氏液或羟乙基淀粉氯化钠注射液扩容效应的观察[J]. 中国现代医学杂志, 21(9) :2674-2680.
12. 任素霞, 安虹. 静脉输液者首次排尿时间与排尿次数的观察[J]. 中国冶金工业医学杂志, 2003, 20(1) :65-66.
13. 李恒林, 王大柱. 神经外科麻醉实践[M]. 北京:人民卫生出版社, 2004:262-348.
14. 时忠华, 蔡学见, 王玉海, 等. 颅内动脉瘤术后并发症对其预后的影响[J]. 中华神经外科疾病研究杂志, 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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