关键词: 重症监护, 心力衰竭, Bentall手术, 左心室辅助装置, 护理

Abstract:

To summarize the postoperative nursing practice of a patient with Bentall combined with a left ventricular assist device. Key points of care were as follows. To begin with，we closely monitored the cardiac function of the patient to prevent right heart failure，including timely adjustment of the pump speed of the left ventricular assist device through goal-oriented volume management，intermittent nitric oxide inhalation therapy to maintain appropriate pulmonary artery pressure and avoidance of electrolyte disorders to prevent arrhythmia. Secondly，we monitored coagulation function to prevent bleeding and thrombosis. Then，the postoperative infection should be prevented as early as possible. At the early stage，we implemented individualized rehabilitation training and provided individualized psychological nursing for the patient. The patient recovered well and was transferred to the general ward 13 days after the operation.

Key words: Intensive Care, Heart Failure, Bentall Surgery, Left Ventricular Assist Device, Nursing Care