Abstract
BackgroundPatients with Extracorporeal Membrane Oxygenation (ECMO) undergoing primary bronchial malignancy resection and left pneumonectomy via bilateral thoracic approach are rare for there exist few reports available to date. And the nursing experience about this disease is rare reported.Case presentationThis study reported a 50-year-old man with adenoid cystic carcinoma in left main bronchus by computed tomography (CT), fiberoptic bronchoscopy, and puncture biopsy. The case is the first report about operation method and the comprehensive nursing care, including conventional nursing, airway management, fluid management, nutritional support, and psychosocial support for patients undergoing primary bronchial malignancy resection and left pneumonectomy. After multidisciplinary treatment and comprehensive care, the patient was cured and discharged on the 17th day after surgery.ConclusionThis study reported a rare case with bronchial malignancy resection and left pneumonectomy and discussed its nursing care. A skilled management of ECMO, intraoperative position transformation, and prevention, as well as control of pulmonary complications are fundamental in caring patients with bronchial tumors. Monitoring of pulmonary function and blood pressure, adequate nutrition, and psychological support could be contributing factors for successful treatment during the postoperative stage.
Highlights
Primary bronchial malignancy refers to a tumor in the annular soft tissue
This study reported a rare case with bronchial malignancy resection and left pneumonectomy and discussed its nursing care
A skilled management of Extracorporeal Membrane Oxygenation (ECMO), intraoperative position transformation, and prevention, as well as control of pulmonary complications are fundamental in caring patients with bronchial tumors
Summary
This study reported an innovative surgical method, shared nursing experience and challenges. This was the first time to share the nursing experience of patients undergoing a specialized surgical procedure. The individualized and comprehensive nursing measures were formulated, based on clinical experience and patients’ conditions, and the patient got a good treatment effect. Careful observation and intensive care were very important for the recovery of the patient’s postoperative pulmonary function, which were able to prevent the postoperative complications effectively. Support/Continuous Positive Airway Pressure; FiO2: Fraction of inspiration O2; PEEP: Positive End-expiratory Pressure; COVID-19: Corona Virus Disease 2019
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
