TITLE:
Perioperative Nursing Management of an Animal Model of Axial Flow Blood Pump Implantation
AUTHORS:
Aimei Kang, Jinjun Li, Yong Zhou, Liu Hu, Zhengying Qiu, Xin Zhou
KEYWORDS:
Axial-Flow Left Ventricular Assist Devices (LVADs), Goats, Perioperative Nursing Management
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.7 No.4,
April
28,
2016
ABSTRACT: This study
aimed to explore the characteristics of perioperative nursing of experimental
goats using self-made axial-flow blood pump implantation and provided
theoretical nursing knowledge and practice-based evidence for the clinical
application of domestically manufactured artificial cardiac pumps. Methods:
Seven experimental goats were used in this study, three for pre-testing and
four for the formal experiments. According to the surgical requirements for
axial-flow blood pump implantation into the cardiac apex, we creatively
designed and made a series of highly practical animal surgical instruments
including a composite disassemblable bed for experimental animal transferring
and monitoring, a multifunctional animal surgery bed, and portable medical
supporting equipment. We also applied for two national invention patents and
one utility model patent. Active measures were taken to ensure careful
preparation before surgery, close collaboration during surgery, and effective
management of complications after surgery. Results: Two of the four experimental
goats died during surgery because of a massive hemorrhage caused by distal
anastomotic failure and air embolism-induced cardiac arrest caused by air leakage
from the outlet into the heart due to poor connection of the auxiliary pressure
tap (used to measure left ventricular pressure). The mean survival time of the
remaining three experimental goats was 22.7 hours. Conclusion: This study was
the first to systematically and comprehensively investigate the perioperative
nursing management of axial-flow blood pump implantation using animal models.
These findings could greatly promote further clinical applied nursing research
of self-made artificial cardiac pump implantation in experimental goats.