Postoperative nursing care of a child with pulmonary artery displacement combined with slide tracheobronchial plasty

Abstract

Generally, pulmonary artery sling operation involves the pulmonary artery transplantation to be cut off. Nursing care is focused on the postoperative pulmonary vascular anastomosis, respiratory tract, and blood pressure after surgery. We report the case of an infant who underwent pulmonary artery tracheal transposition combined with Slide keratoplasty, where the pulmonary artery transplantation was not cut off. We highlight that postoperative pulmonary artery blood flow to the unobstructed airway and airway reconstruction surgery should be focused on to help children recover and ensure successful surgery. This case study reports the postoperative nursing experience of one patient with pulmonary artery sling undergoing pulmonary tracheal transposition combined with Slide arthroplasty. This demonstrates that throughout the postoperative care, airway management should be focused on to maintain circulation stability in the early postoperative period, and corresponding measures such as posture management, atomization inhalation, and improved chest physical therapy should be applied according to the special surgical method of the case in order to reduce airway complications and to improve the surgical success rate of children with pulmonary artery sling undergoing pulmonary tracheal transposition combined with Slide arthroplasty. In similar cases, after pulmonary tracheal transposition and Slide angioplasty, the doctors and nurses should pay attention to early circulation stability and focus on airway management through careful treatment and nursing, so as to promote the child's recovery.

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“…The issue concludes with two paediatric and neonatal care papers: a case study of the postoperative care provided to an infant who underwent pulmonary artery tracheal transposition with slide tracheobronchial keratoplasty 16 and a systematic review with meta‐analysis on the effects of the mother's voice on painful procedures among pre‐term and full‐term infants 17 …”

“…Chen et al 6 assessed the predictive validity of the Jackson-Cubbin scale for pressure ulcers through a systematic review and meta-analysis, do Nascimento et al 7 Other papers in this issue analyse nurses' knowledge and practices related to oral care 12 and central line-associated bloodstream infections 13 ; the demand on and efficacy of critical care outreach service during the COVID-19 pandemic 14 ; and the development and implementation of a family-centred transition intervention programme led by an intensive care unit liaison nurse. 15 The issue concludes with two paediatric and neonatal care papers: a case study of the postoperative care provided to an infant who underwent pulmonary artery tracheal transposition with slide tracheobronchial keratoplasty 16 and a systematic review with meta-analysis on the effects of the mother's voice on painful procedures among pre-term and full-term infants. 17 We trust that you will enjoy reading these papers and that they will make you reflect on your own practice as a clinician, educator or researcher.…”