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신경외과_시술 및 수술_전후 간호 총정리(임상)

"신경외과_시술 및 수술_전후 간호 총정리(임상)"에 대한 내용입니다.
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최초등록일 2023.07.24 최종저작일 2023.07
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신경외과_시술 및 수술_전후 간호 총정리(임상)
  • 미리보기

    소개

    "신경외과_시술 및 수술_전후 간호 총정리(임상)"에 대한 내용입니다.

    목차

    없음

    본문내용

    *UBE disectomy (G/A) knight(20) : uniateral biportal endoscopic 양방향 척추 내시경 5mm 정도 두 개의 구멍을 통해 한쪽은 내시경, 다른 한쪽은 수술 기구를 삽입해 8~10배의 배율로 병변을 보며 수술
    기존의 절개 수술법에 비해 근육 손상이 거의 없어 수술 후 통증이 덜하며 회복이 빠른 장점. 또한 기존의 단일공 척추 내시경 수술과 비교하여 넓은 수술 시야확보 및 다양한 기구를 사용할 수 있음

    - PRE: MN NPO
    foot dorsi-flexion -> motor, power확인
    plaju
    atropine은 HR 90 이상일 경우 noti 후 X

    - POST: N/S
    spinal마취 풀리는지 봐주기
    foot drop위험-> 관찰하기

    - POD#1: Op 후 1day 이기 때문에 수술 전후 상태확인
    NS는 리리베아(리리카) 처방냄
    바로박 등 가지고 오면 혈전제 stop
    ① dosi는 60cc/hr로 맞춤
    ② PCA는 1-2일 후 제거(비급여이므로 제거차팅 필수)
    ③ 소변줄 remove, self vioding
    ④ 바로박 양보고 1-2일 후 주치의 notify, remove

    참고자료

    · 없음
  • AI와 토픽 톺아보기

    • 1. UBE disectomy
      UBE (Unilateral Biportal Endoscopic) discectomy is a minimally invasive surgical technique used to treat herniated intervertebral discs. This procedure involves making two small incisions on the back and using an endoscope and specialized instruments to remove the damaged disc material, relieving pressure on the spinal nerve. The key advantages of UBE discectomy include reduced tissue trauma, faster recovery times, and improved visualization of the surgical site compared to traditional open discectomy. However, the technique requires specialized training and equipment, and may not be suitable for all types of disc herniations or spinal conditions. Overall, UBE discectomy can be a valuable option for patients seeking a less invasive approach to disc surgery, but the decision should be made in consultation with an experienced spine surgeon.
    • 2. PSLD
      PSLD (Percutaneous Spinal Laser Discectomy) is a minimally invasive procedure used to treat herniated intervertebral discs. In this technique, a small needle is inserted into the disc, and a laser is used to vaporize and remove a portion of the damaged disc material. This helps to reduce pressure on the spinal nerve and alleviate symptoms such as back pain and leg pain. The advantages of PSLD include a shorter recovery time, reduced risk of complications, and the ability to perform the procedure on an outpatient basis. However, the procedure may not be suitable for all types of disc herniations, and the long-term outcomes are still being studied. Overall, PSLD can be a viable option for carefully selected patients, but the decision should be made in consultation with a qualified spine specialist.
    • 3. PELD
      PELD (Percutaneous Endoscopic Lumbar Discectomy) is a minimally invasive surgical technique used to treat herniated intervertebral discs in the lumbar spine. In this procedure, a small incision is made, and a thin endoscope is inserted to visualize the affected disc. The surgeon then uses specialized instruments to remove the damaged disc material, relieving pressure on the spinal nerve. The key advantages of PELD include reduced tissue trauma, faster recovery times, and the ability to perform the procedure on an outpatient basis. However, the technique requires specialized training and equipment, and may not be suitable for all types of disc herniations or spinal conditions. Overall, PELD can be a valuable option for patients seeking a less invasive approach to disc surgery, but the decision should be made in consultation with an experienced spine surgeon.
    • 4. PSCD
      PSCD (Percutaneous Spinal Cord Decompression) is a minimally invasive surgical technique used to treat spinal stenosis, a condition characterized by the narrowing of the spinal canal, which can lead to compression of the spinal cord and nerves. In this procedure, a small incision is made, and specialized instruments are used to remove a portion of the bone or ligament that is causing the compression, without the need for a larger, open surgical procedure. The key advantages of PSCD include reduced tissue trauma, faster recovery times, and the ability to perform the procedure on an outpatient basis. However, the technique requires specialized training and equipment, and may not be suitable for all types of spinal stenosis or other spinal conditions. Overall, PSCD can be a valuable option for carefully selected patients, but the decision should be made in consultation with an experienced spine surgeon.
    • 5. LD
      LD (Lumbar Discectomy) is a surgical procedure used to treat herniated or ruptured intervertebral discs in the lower back. In this procedure, the surgeon makes an incision in the back and removes the portion of the disc that is pressing on the spinal nerve, relieving the associated pain and symptoms. The key advantages of LD include the ability to directly address the underlying cause of the problem and the potential for long-term relief of symptoms. However, LD is a more invasive procedure compared to some minimally invasive techniques, and it carries a higher risk of complications, such as infection, nerve damage, and instability of the spine. Additionally, the recovery time can be longer than some less invasive options. Overall, LD may be the best choice for certain types of disc herniations or when other conservative treatments have failed, but the decision should be made in consultation with an experienced spine surgeon.
    • 6. LAMINECTOMY
      Laminectomy is a surgical procedure used to treat spinal stenosis, a condition characterized by the narrowing of the spinal canal, which can lead to compression of the spinal cord and nerves. In this procedure, the surgeon removes a portion of the vertebral bone (the lamina) to create more space for the spinal cord and nerves, relieving the pressure and associated symptoms. The key advantages of laminectomy include the ability to directly address the underlying cause of the problem and the potential for long-term relief of symptoms. However, laminectomy is a more invasive procedure compared to some minimally invasive techniques, and it carries a higher risk of complications, such as infection, nerve damage, and instability of the spine. Additionally, the recovery time can be longer than some less invasive options. Overall, laminectomy may be the best choice for certain types of spinal stenosis or when other conservative treatments have failed, but the decision should be made in consultation with an experienced spine surgeon.
    • 7. Foraminotomy
      Foraminotomy is a surgical procedure used to treat spinal stenosis, a condition characterized by the narrowing of the spinal canal, which can lead to compression of the spinal cord and nerves. In this procedure, the surgeon removes a portion of the bone or ligament that is causing the compression, creating more space for the spinal nerve to pass through the foramen (the opening between the vertebrae). The key advantages of foraminotomy include the ability to directly address the underlying cause of the problem, the potential for long-term relief of symptoms, and a relatively shorter recovery time compared to more extensive spinal surgeries. However, foraminotomy is still an invasive procedure, and it carries a risk of complications, such as infection, nerve damage, and instability of the spine. Overall, foraminotomy may be a suitable option for certain types of spinal stenosis or when other conservative treatments have failed, but the decision should be made in consultation with an experienced spine surgeon.
    • 8. Laminoplasty
      Laminoplasty is a surgical procedure used to treat spinal stenosis, a condition characterized by the narrowing of the spinal canal, which can lead to compression of the spinal cord and nerves. In this procedure, the surgeon creates a hinge on one side of the vertebral lamina (the bony arch of the vertebra) and opens it up, creating more space for the spinal cord and nerves. The key advantages of laminoplasty include the ability to preserve the stability of the spine, a relatively shorter recovery time compared to more extensive spinal surgeries, and the potential for long-term relief of symptoms. However, laminoplasty is still an invasive procedure, and it carries a risk of complications, such as infection, nerve damage, and persistent pain or stiffness. Overall, laminoplasty may be a suitable option for certain types of spinal stenosis or when other conservative treatments have failed, but the decision should be made in consultation with an experienced spine surgeon.
    • 9. VP
      VP (Vertebroplasty) is a minimally invasive surgical procedure used to treat vertebral compression fractures, which are often caused by osteoporosis or trauma. In this procedure, the surgeon injects a cement-like material (polymethylmethacrylate) into the fractured vertebra, stabilizing the bone and relieving pain. The key advantages of VP include a relatively short recovery time, the ability to perform the procedure on an outpatient basis, and the potential for immediate pain relief. However, VP is not suitable for all types of vertebral fractures, and it carries a risk of complications, such as cement leakage, nerve damage, and infection. Additionally, the long-term outcomes of VP are still being studied. Overall, VP may be a valuable option for carefully selected patients with vertebral compression fractures, but the decision should be made in consultation with an experienced spine surgeon.
    • 10. KP
      KP (Kyphoplasty) is a minimally invasive surgical procedure used to treat vertebral compression fractures, which are often caused by osteoporosis or trauma. In this procedure, the surgeon inserts a small balloon-like device into the fractured vertebra, inflates it to restore the height of the vertebra, and then injects a cement-like material (polymethylmethacrylate) to stabilize the bone. The key advantages of KP include the ability to restore the height of the fractured vertebra, a relatively short recovery time, and the potential for immediate pain relief. However, KP is not suitable for all types of vertebral fractures, and it carries a risk of complications, such as cement leakage, nerve damage, and infection. Additionally, the long-term outcomes of KP are still being studied. Overall, KP may be a valuable option for carefully selected patients with vertebral compression fractures, but the decision should be made in consultation with an experienced spine surgeon.
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