Abstract
Accelerated rehabilitation surgery (ERAS) can promote postoperative recovery and reduce postoperative complications by minimizing surgically related stress, and its efficacy and safety in acute aortic dissection surgery have been demonstrated. However, due to the particularity of acute aortic dissection, studies on the application of accelerated rehabilitation surgery in acute aortic dissection are relatively rare and there are great differences among different studies. This study adopts the method of evidence-based nursing practice accelerate rehabilitation cluster of surgical nursing strategy developed and applied to the patients with primary acute aortic dissection and adopts “accelerate rehabilitation cluster of surgical nursing strategy” and “accelerated rehabilitation cluster of surgical nursing strategies in patients with acute aortic dissection in clinical intervention”, the new nursing concept and organic combination of traditional nursing measures, using the optimal cluster nursing intervention mode, to explore the safety, effectiveness and feasibility of the intervention mode in the perioperative period of the original acute aortic dissection in patients’ cluster intervention, to accelerate the rehabilitation surgery in acute aortic dissection in the clinical care to provide a scientific basis for the operation.
Highlights
This study adopts the method of evidence-based nursing practice accelerate rehabilitation cluster of surgical nursing strategy developed and applied to the patients with primary acute aortic dissection and adopts “accelerate rehabilitation cluster of surgical nursing strategy” and “accelerated rehabilitation cluster of surgical nursing strategies in patients with acute aortic dissection in clinical intervention”, the new nursing concept and organic combination of traditional nursing measures, using the optimal cluster nursing intervention mode, to explore the safety, effectiveness and feasibility of the intervention mode in the perioperative period of the original acute aortic dissection in patients’ cluster intervention, to accelerate the rehabilitation surgery in acute aortic dissection in the clinical care to provide a scientific basis for the operation
[2] for patients with complex Stanford Type A aortic dissection, in order to reduce the occurrence of postoperative aortic dissection and increase the closure rate of postoperative false cavity, total aortic arch replacement + stent elephant nose surgery are generally adopted, while partial arch replacement is generally recommended for simple type
Based on the literature review and clinical practice, the evidence-based question was determined as follows: does cluster care in accelerated rehabilitation surgery promote postoperative recovery in PATIENTS with type A aortic dissection (TAAD) compared with traditional care?
Summary
Studies have shown that Sun-style [3] operation method is simple, safe, and the interlayer crevasse is closed to perfect and simplify the operation procedures, applies to the aorta distal aorta go circuitous situation, operation mortality is low, less postoperative complications, follow-up false cavity closure rate is high, low and reoperation rate, can become the treatment modalities of Stanford type A aortic dissection surgery way new specification. It has been reported [4] that even after surgery, the mortality rate is as high as 7% - 13%. The research progress of the optimization of RAS cluster intervention strategy in the perioperative period of acute Stanford type A aortic dissection is reported as follows
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