What are the precautions after aneurysm surgery?

It is very important to pay attention to the precautions after surgery, but many people are not clear about it. So what are the precautions after aneurysm surgery?

The diet after surgery for cerebral aneurysm should be light and nutritious, ensure that the patient gets enough rest, avoid fatigue and emotional excitement. If the patient is not anemic, there is no need to supplement blood, and just pay attention to dietary therapy in daily life.

Due to the wide scope of surgery, long operation time, large wound surface, and heavy bleeding, patients with thoracic aortic aneurysm must be sent to the ICU for close monitoring after surgery. Blood pressure should be controlled to maintain between 100 and 109.5 mmHg to avoid rebound of blood pressure, which may cause tearing and bleeding of fragile tissues at the anastomosis. The commonly used drug is sodium nitroprusside, and the dosage can be controlled by a micropump to achieve satisfactory results.

In addition to the above precautions for aneurysms, blood transfusions should be given to correct blood loss and maintain water and electrolyte balance. The amount of urine affected by pleural drainage should be recorded, and blood transfusions and fluids should be given in a timely manner. If the central venous pressure is high and the urine volume is low, diuretics such as enosemide should be given to promote the recovery of renal function.

The majority of patients with aortic aneurysms are middle-aged and elderly, and the main cause is arteriosclerosis, so patients may have varying degrees of coronary artery sclerosis. Precautions after aneurysm surgery should strengthen cardiac monitoring, especially myocardial ischemia and arrhythmia, and timely treatment should be given when abnormalities are found. Evaluation of respiratory management After surgery, ventilator-assisted breathing is routinely used, respiratory management is strengthened, bedside chest x-rays are taken in time, and blood gas analysis is performed to understand the lung condition and keep the endotracheal tube and chest drainage tube unobstructed.

Prevention of infection: The polyester blood vessels, gaskets and sutures used in thoracic aortic aneurysm surgery are all foreign bodies and are prone to infection. A large dose of Guangnuo antibiotics is used after surgery to prevent the occurrence of peri-anastomotic infection that may cause pseudoaneurysm or rupture, massive bleeding and death.

Warm reminder: In order for patients to recover as soon as possible, we as family members must also take good care of the patients and encourage them not to give up on themselves.