Nursing Perspectives in the Management of Infants and Children Requiring Thoracic Surgery

  • H. Telfer
  • S. Willis
Conference paper
Part of the Progress in Pediatric Surgery book series (PEDIATRIC, volume 27)

Summary

Nurses who care for infants and children undergoing thoracic surgery must function and make decisions which take into account a multiplicity of complex data. This necessitates a background of knowledge, skill and intuition which guides their nursing practice. The principles of holistic care in which the total needs of the infant and child are met within the context of the family are seen as an important approach to patient care. Selected perspectives in the care of infants with congenital and acquired thoracic anomalies are discussed, in particular infants with congenital diaphragmatic hernia and oesophageal atresia. The preparation of children for chest surgery and the postoperative nursing management are outlined and include aspects of pain management, physiotherapy and chest drain care.

Keywords

Catheter Convection Dopamine Respiration Morphine 

Zusammenfassung

Krankenschwestern, die Kinder und Säuglinge mit throaxchirurgischen Eingriffen betreuen, sind vor Entscheidungen gestellt, die eine Vielzahl komplexer Daten implizieren. Dies erfordert einen soliden Wissensstand, Fertigkeit und Intuition für die tägliche Pflegepraxis. Die Prinzipien einer umfassenden Pflege, die alle Bedürfnisse der Säuglinge und Kinder auch im Kontext mit der Familie berücksichtigt, sind wichtig zur Bewältigung dieser Aufgabe. Ausgewählte Gesichtspunkte bei der Pflege von Säuglingen mit kongenitalen oder erworbenen Thoraxanomalien werden diskutiert, insbesondere bei Säuglingen mit angeborener Zwerchfellhernie und Ösophagusatresie. Die Vorbereitung der Kinder für einen thoraxchirurgischen Eingriff und die postoperative Pflege werden dargestellt; dabei werden Aspekte der Schmerzbekämpfung, der Physiotherapie und der Umgang mit Thoraxdrainagen erörtert.

Résumé

Les infirmières qui s’occupent des nourrissons et des enfants devant subir une intervention chirurgicale du thorax doivent agir et prendre des décisions en tenant compte d’une multiplicité de facteurs extrêmement complexes. Elles doivent donc disposer, ,en plus de leur expérience, d’un important bagage de connaissances, d’adresse et d’intuition. Les principles de la théroie de la totalité (holistic care) prenant en considération l’ensemble des besoins d’un nourrisson et d’un enfants dans son contexte familial sont considérés comme un atout majeur.

Les auteurs traitent des soins à apporter aux nourrissons présentant des anomalies thoraciques congénitales et acquises et en particulier aux nourrissons avec hernie diaphragmatique congénitale ou atrésie oesophagienne.

Il est aussi question de la préparation des enfants à la chirurgie du thorax et de l’organisation des soins postopératoires, y compris la lutte contre la douleur, la physiothérapie et le drainage thoracique.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • H. Telfer
    • 1
  • S. Willis
    • 1
  1. 1.Department of NursingRoyal Children’s Hospital MelbourneParkvilleAustralia

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