Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke

Lifang Chen; Jiancong Chen; Peng Zhang

doi:doi:10.11648/j.ajns.20200902.18

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Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke

Lifang Chen, Jiancong Chen, Peng Zhang

Published in American Journal of Nursing Science (Volume 9, Issue 2)

Received: 12 March 2020 Accepted: 25 March 2020 Published: 1 April 2020

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Abstract

Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients, the nurses are often responsible for the monitoring and nursing of sedated patients under the instructions of doctors. This paper aims to analyze and evaluate the effects of individualized sedation care during the interventional therapy for anterior-circulation Acute Ischemic Stroke (AIS). Methods: According to the actual situation, 106 patients were treated with sedation care, dynamic evaluating, medicating and restricting programmatically. And patients were grouped into 2 groups according to the sedation medication option, comparing the door-to-reperfusion time in the digital subtraction angiography (DSA) suite and occurrence of adverse reactions. Results: Nurses and doctors successfully cooperated during therapies. The door-to-reperfusion time in the DSA suite of the Midazolam Group and the Dexmedetomidine Group were 38.7±9.8 min and 38.4±10.9 min, which reached the reference level reported in the literature. The rates of adverse reactions were low and no death cases. There was no significant difference in blood oxygen desaturation, blood pressure decline, vomiting, sedation deficiency and over sedation between the two groups (P>0.05). But there were significant differences in image artifacts between the two groups (P<0.05). Conclusion: With individualized sedation care, it can benefit to shorten the reperfusion time and provide safety for the emergency interventional therapy for AIS patients.

Published in	American Journal of Nursing Science (Volume 9, Issue 2)
DOI	10.11648/j.ajns.20200902.18
Page(s)	79-83
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Bundle Care, Individualized Sedation Care, Acute Ischemic Stroke

References

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[7]	WANG S Y, ZHU L H. Effects of dexmedetomidine and midazolam combined with fentanyl on sedation in patients with postoperative mechanical ventilation in ICU [J]. Practical Pharmacy And Clincal Remedies, 2014 (03): 308-310.
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[15]	ASSOCIATION FOR RADIOLOGIC & IMAGING NURSING. Clinical Practice Guideline: Moderate Sedation and Analgesia [EB/OL]. (2014-03-12) https://www.arinursing.org/pdf/h_Moderate_Sedation_and_Analgesia.pdf.
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APA Style

Lifang Chen, Jiancong Chen, Peng Zhang. (2020). Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke. American Journal of Nursing Science, 9(2), 79-83. https://doi.org/10.11648/j.ajns.20200902.18

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ACS Style

Lifang Chen; Jiancong Chen; Peng Zhang. Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke. Am. J. Nurs. Sci. 2020, 9(2), 79-83. doi: 10.11648/j.ajns.20200902.18

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AMA Style

Lifang Chen, Jiancong Chen, Peng Zhang. Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke. Am J Nurs Sci. 2020;9(2):79-83. doi: 10.11648/j.ajns.20200902.18

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@article{10.11648/j.ajns.20200902.18,
  author = {Lifang Chen and Jiancong Chen and Peng Zhang},
  title = {Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {2},
  pages = {79-83},
  doi = {10.11648/j.ajns.20200902.18},
  url = {https://doi.org/10.11648/j.ajns.20200902.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200902.18},
  abstract = {Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients, the nurses are often responsible for the monitoring and nursing of sedated patients under the instructions of doctors. This paper aims to analyze and evaluate the effects of individualized sedation care during the interventional therapy for anterior-circulation Acute Ischemic Stroke (AIS). Methods: According to the actual situation, 106 patients were treated with sedation care, dynamic evaluating, medicating and restricting programmatically. And patients were grouped into 2 groups according to the sedation medication option, comparing the door-to-reperfusion time in the digital subtraction angiography (DSA) suite and occurrence of adverse reactions. Results: Nurses and doctors successfully cooperated during therapies. The door-to-reperfusion time in the DSA suite of the Midazolam Group and the Dexmedetomidine Group were 38.7±9.8 min and 38.4±10.9 min, which reached the reference level reported in the literature. The rates of adverse reactions were low and no death cases. There was no significant difference in blood oxygen desaturation, blood pressure decline, vomiting, sedation deficiency and over sedation between the two groups (P>0.05). But there were significant differences in image artifacts between the two groups (P<0.05). Conclusion: With individualized sedation care, it can benefit to shorten the reperfusion time and provide safety for the emergency interventional therapy for AIS patients.},
 year = {2020}
}

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TY  - JOUR
T1  - Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke
AU  - Lifang Chen
AU  - Jiancong Chen
AU  - Peng Zhang
Y1  - 2020/04/01
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200902.18
DO  - 10.11648/j.ajns.20200902.18
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 79
EP  - 83
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200902.18
AB  - Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients, the nurses are often responsible for the monitoring and nursing of sedated patients under the instructions of doctors. This paper aims to analyze and evaluate the effects of individualized sedation care during the interventional therapy for anterior-circulation Acute Ischemic Stroke (AIS). Methods: According to the actual situation, 106 patients were treated with sedation care, dynamic evaluating, medicating and restricting programmatically. And patients were grouped into 2 groups according to the sedation medication option, comparing the door-to-reperfusion time in the digital subtraction angiography (DSA) suite and occurrence of adverse reactions. Results: Nurses and doctors successfully cooperated during therapies. The door-to-reperfusion time in the DSA suite of the Midazolam Group and the Dexmedetomidine Group were 38.7±9.8 min and 38.4±10.9 min, which reached the reference level reported in the literature. The rates of adverse reactions were low and no death cases. There was no significant difference in blood oxygen desaturation, blood pressure decline, vomiting, sedation deficiency and over sedation between the two groups (P>0.05). But there were significant differences in image artifacts between the two groups (P<0.05). Conclusion: With individualized sedation care, it can benefit to shorten the reperfusion time and provide safety for the emergency interventional therapy for AIS patients.
VL  - 9
IS  - 2
ER  -

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Author Information

Lifang Chen

Interventional Radiology Room, The First Affiliated Hospital of Jinan University, Guangzhou, China
Jiancong Chen

Interventional Radiology Room, The First Affiliated Hospital of Jinan University, Guangzhou, China
Peng Zhang

Interventional Radiology Room, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Lifang Chen, Jiancong Chen, Peng Zhang. (2020). Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke. American Journal of Nursing Science, 9(2), 79-83. https://doi.org/10.11648/j.ajns.20200902.18

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ACS Style

Lifang Chen; Jiancong Chen; Peng Zhang. Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke. Am. J. Nurs. Sci. 2020, 9(2), 79-83. doi: 10.11648/j.ajns.20200902.18

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AMA Style

Lifang Chen, Jiancong Chen, Peng Zhang. Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke. Am J Nurs Sci. 2020;9(2):79-83. doi: 10.11648/j.ajns.20200902.18

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@article{10.11648/j.ajns.20200902.18,
  author = {Lifang Chen and Jiancong Chen and Peng Zhang},
  title = {Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke},
  journal = {American Journal of Nursing Science},
  volume = {9},
  number = {2},
  pages = {79-83},
  doi = {10.11648/j.ajns.20200902.18},
  url = {https://doi.org/10.11648/j.ajns.20200902.18},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200902.18},
  abstract = {Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients, the nurses are often responsible for the monitoring and nursing of sedated patients under the instructions of doctors. This paper aims to analyze and evaluate the effects of individualized sedation care during the interventional therapy for anterior-circulation Acute Ischemic Stroke (AIS). Methods: According to the actual situation, 106 patients were treated with sedation care, dynamic evaluating, medicating and restricting programmatically. And patients were grouped into 2 groups according to the sedation medication option, comparing the door-to-reperfusion time in the digital subtraction angiography (DSA) suite and occurrence of adverse reactions. Results: Nurses and doctors successfully cooperated during therapies. The door-to-reperfusion time in the DSA suite of the Midazolam Group and the Dexmedetomidine Group were 38.7±9.8 min and 38.4±10.9 min, which reached the reference level reported in the literature. The rates of adverse reactions were low and no death cases. There was no significant difference in blood oxygen desaturation, blood pressure decline, vomiting, sedation deficiency and over sedation between the two groups (P>0.05). But there were significant differences in image artifacts between the two groups (P<0.05). Conclusion: With individualized sedation care, it can benefit to shorten the reperfusion time and provide safety for the emergency interventional therapy for AIS patients.},
 year = {2020}
}

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TY  - JOUR
T1  - Application of Bundle Care in Patient with Individualized Sedation Care During the Interventional Therapy for Anterior-circulation Acute Ischemic Stroke
AU  - Lifang Chen
AU  - Jiancong Chen
AU  - Peng Zhang
Y1  - 2020/04/01
PY  - 2020
N1  - https://doi.org/10.11648/j.ajns.20200902.18
DO  - 10.11648/j.ajns.20200902.18
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 79
EP  - 83
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20200902.18
AB  - Objective: With the rapid development of interventional diagnosis and treatment technology and the shortage of nursing human resources, the workload of interventional surgery has increased dramatically. In the face of an increasing number of patients or emergency operations with potential sedation needs, especially in the emergency of AIS patients, the nurses are often responsible for the monitoring and nursing of sedated patients under the instructions of doctors. This paper aims to analyze and evaluate the effects of individualized sedation care during the interventional therapy for anterior-circulation Acute Ischemic Stroke (AIS). Methods: According to the actual situation, 106 patients were treated with sedation care, dynamic evaluating, medicating and restricting programmatically. And patients were grouped into 2 groups according to the sedation medication option, comparing the door-to-reperfusion time in the digital subtraction angiography (DSA) suite and occurrence of adverse reactions. Results: Nurses and doctors successfully cooperated during therapies. The door-to-reperfusion time in the DSA suite of the Midazolam Group and the Dexmedetomidine Group were 38.7±9.8 min and 38.4±10.9 min, which reached the reference level reported in the literature. The rates of adverse reactions were low and no death cases. There was no significant difference in blood oxygen desaturation, blood pressure decline, vomiting, sedation deficiency and over sedation between the two groups (P>0.05). But there were significant differences in image artifacts between the two groups (P<0.05). Conclusion: With individualized sedation care, it can benefit to shorten the reperfusion time and provide safety for the emergency interventional therapy for AIS patients.
VL  - 9
IS  - 2
ER  -

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