What are the postoperative care after aneurysm clipping?

What are the postoperative care after aneurysm clipping?

1. Pay attention to general care.

After general anesthesia, the patient is placed in a supine position without a pillow, with the head tilted to the healthy side. For patients with endotracheal intubation, the air bag is opened regularly to keep the airway open. After the patient wakes up and has stable blood pressure, the patient is placed in a supine position with the head of the bed raised 15° to 30°. Principle: The patient is placed in a comfortable supine position to relax, and muscle twitching and restlessness caused by improper posture are avoided. The patient is continuously inhaled with low-flow oxygen, and ECG monitoring is performed at the bedside. The consciousness, pupils, and limb movements are closely observed.

2. Smoothly pass through the edema period.

Due to surgical trauma and traction, brain tissue is stimulated, and reactive brain tissue edema may occur 2 to 4 days after surgery. The amount of fluid intake and output should be accurately recorded, the amount of water intake should be controlled, and dehydration agents should be used correctly to maintain water and electrolyte balance. Patients with postoperative high fever should take cooling measures in time, such as ice caps on the head, intermittent alcohol baths, warm water baths, etc., because high fever can easily cause relative hypoxia of brain tissue and aggravate brain damage; the daily infusion volume is 600ml.

3. Care for major complications.

Prevention, treatment and nursing of cerebral vasospasm The incidence of postoperative cerebral vasospasm is 41% to 47%2. The delayed cerebral ischemic infarction and cerebral edema caused by it are the main causes of death or disability after intracranial aneurysm surgery. The focus of nursing is to dynamically observe the patient's consciousness after surgery, and observe whether there are new manifestations of neurological dysfunction or deterioration of existing neurological symptoms.

What should you pay attention to in your diet after cerebral aneurysm surgery?

1. Eat more green vegetables and fresh fruits.

2. Avoid eating foods that excite the nervous system.

3. Eat more foods rich in potassium and calcium and low in sodium.

4. The diet should be light.

5. Control the intake of calorie.

6. Consume protein in moderation.

7. Limit fat intake.

For cerebral aneurysms, many patients will choose surgical treatment. Through surgical treatment, many patients are on the road to recovery. Daily diet is also crucial.