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I would like to obtain some information about how to care patients with pleurodesis performed. It is difficult and rare to find in nursing textbooks. It is my pleasure to know the useful textbooks, journals or websites.
Immediate post-op (after recovery): post-op obs, pain mgt (PCA, Paracetamol. Tramal), ICC obs/care (usually suction on), get up next morning if not night before to void, ICC usually in 24-48hrs, then PCA down, redress VAT & ICC sites daily, shower next morning (with assist/supervision), nausea issues, independant mobilisation once past effects of anaesthetic, home 2-4 days if no complications, often low-grade temp. immediately post-op (inflammatory reaction), follow-up CXR to check lung inflation. hope this helps
Sorry guys, guess I forgot not everyone works in cardiothoracic!
A plerodesis is performed to create an inflammatory reaction between the lung pleura (visceral & parietal).
This then encourages the lung pleuras to 'stick' together helping the lung to stay inflated.
Patients present with recurring pneumothoraxes caused by a weakness in the visceral pleura (cyst or injury).
Procedure is usually performed by a VAT (video assisted thoracotomy or keyhole surgery to the lung)
ICC (intercostal catheter) or pleural drain connected to an underwater drainage system is often inserted.
Analgesic is usually via patient-controlled-analgesia (PCA) with morphine or fentanyl
I read your post dyno and I thank God for nurses like your self who are real simple and to the point when explaining something that may not be easily understood by others. honestly when I read the first response to pleurodesis I along with the others had no idea what they were talking about, Thank you