Protocolized management in intensive care unit for post-interventional Stanford B aortic dissection patients

doi:10.3877/cma.j.issn.2096-1537.2017.04.008

Abstract

Abstract:

Objective

To investigate the effect of protocolized management in intensive care unit for patients with Stanford type B aortic dissection (AD) undergoing thoracic endovascular aortic repair (TEVAR).

Methods

We retrospectively analyzed clinical data from February 2012 to February 2017. All 61 patients with Stanford type B AD patients undergoing TEVAR accepted the following care principles: lung protective ventilation, hemodynamic support, organ function protection and anti-infection therapy. Postoperative function of respiratory system and kidney, and rehabilitation were compared.

Results

Two patients died of multiple organ failure. The rest were successfully extubated and most of them were discharged after rehabilitation.

Conclusion

For post-interventional Stanford B aortic dissection patients, use of lung protective ventilation and prevention of ischemia-reperfusion injury improved the prognosis.

Key words: Aortic dissection, Coated stent graft, Critical care, Postoperative management

Ye Shen, Meiqi Zhang, Nannan Han, Huan Chen, Lingcui Fang, Wenwei Cai. Protocolized management in intensive care unit for post-interventional Stanford B aortic dissection patients[J]. Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition), 2017, 03(04): 271-274.

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URL: https://icu.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2096-1537.2017.04.008

https://icu.cma-cmc.com.cn/EN/Y2017/V03/I04/271

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