What is the postoperative care for aneurysm embolization?

What is post-operative care for an aneurysm embolization?

Aneurysms are divided into true, false, and dissecting aneurysms, which are mostly caused by arteriosclerosis or trauma, and syphilitic aneurysms are rare. They can occur in the carotid artery, subclavian artery, axillary artery, brachial artery, radial artery, iliac artery, femoral artery, hamstring artery, etc.

1 General care: lift the head of the bed 15-30 degrees to facilitate venous return, reduce cerebral edema, and lower intracranial pressure; stay in bed for 2 days after surgery, limit physical activity 3-4 times a week, massage the lower limbs, especially the gastrocnemius ring, to prevent displacement of the spring bolt, prevent deep vein thrombosis in the lower limbs, keep the airway open, turn the head to one side to absorb secretions, turn over regularly, pat the back to promote sputum discharge, give a high-protein, high-calorie, high-vitamin, easily digestible diet, and keep the bowels open; oral skin care, turn over on time, massage pressure points; the indwelling catheter should be kept smooth, and the bladder should be cleaned and the urethra should be disinfected in time to prevent complications.

2 Disease observation: observe vital signs and try to keep blood pressure stable; avoid emotional excitement, mental tension, strenuous exercise, defecation or coughing; observe pupil size, light reflex, and dynamically observe changes in consciousness and record them.

3. Care of puncture site: The puncture sites in this group were all femoral arteries. After the operation, the puncture site was bandaged with pressure and then compressed with a sandbag for 8 hours. The pulsation of the punctured limb and foot arteries, the temperature, color, and peripheral blood circulation of the lower limbs were closely observed, and whether there was bleeding, hematoma, or ecchymosis at the puncture site was observed.

4. Epilepsy care: reduce stimulation, prevent epileptic seizures, install bed rails, prepare rescue drugs, prevent accidents, and minimize injuries during epileptic seizures.

5. Prevention and care of complications of embolization therapy: Give Nimoton for 2 weeks after surgery to prevent TIA. Pay attention to changes in blood pressure, observe symptoms of physical activity, sensation and neurological function deficiency, and report any abnormalities to the doctor immediately if the spring plug is found to be inappropriately positioned, and deal with it in a timely manner.