Author/Authors :
DEMİR KORKMAZ, Fatma E.Ü. - Hemşirelik Fakültesi - Cerrahi Hastalıkları Hemşireliği AD, Turkey , YAVUZ KARAMANOĞLU, Ayla Pamukkale Üniversitesi - Sağlık Yüksekokulu, Turkey
Abstract :
The prevalence of patients with higher risk for more complicated cardiovascular (CV) diseases has been dramatically increasing in recent years. Postoperative mortality and morbidity rate are higher in the elderly and those with ventricular dysfunction, comorbidities, obesity, previous heart surgery, and pulmonary and/or renal failure. Hybrid procedures combining two low-risk management strategies may reduce the total mortality rate in these high-risk patients. Currently, hybrid procedures for the management of almost all CV diseases including coronary artery disease (CAD), valve diseases, peripheral vascular and major vascular diseases, congenital anomalies, dissection and aneurysms are available. Recently, increased awareness of CV health and the patient engagement in the decision-making process have become hybrid procedures in CV surgery wider. A hybrid cardiac surgical procedure combines the skills of the interventional cardiologist, cardiovascular surgeon, nurse, radiologist and other clinical specialists simultaneously under fluoroscopy guidance in a hybrid operating room for the management of the cardiovascular pathology, highlighting the importance of teamwork. During such procedures, operating room nurses are also responsible for being a part of surgery team in an unusual fashion in terms of both team members working with and operating room. In addition, the surgeon performs surgery by watching detailed images on a monitor, not examining the anatomy of the patient. As hybrid procedures may have an effect on the tasks and limitations and working conditions of the circulating and scrub nurses, and eventually on postoperative care for the patients, operating room nurses should be trained regarding technological equipment, radiological protection, teamwork and visualizing tools.
