• Operation Theater, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
GongRenrong, Email: gongrenrong@163.com
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Objective To explore the nursing method to avoid rupture of intracranial aneurysm during induction of anesthesia. Method We retrospectively analyzed the nursing method for 428 patients with aneurysm during the induction of anesthesia between October 2012 and October 2013. According to the causes of rupture of intracranial aneurysm (anxiety, tension, excitement, sudden elevation of blood pressure, physical labor), we adopted nursing methods to avoid those causes, and implemented targeted nursing methods during induction of anesthesia. Results No intracranial aneurysm rupture occurred in these 428 aneurysm patients during induction of anesthesia. Two patients' absolute value of systolic blood pressure was below 80 mm Hg (1 mm Hg=0.133 kPa) during induction of anesthesia, and the vital signs of other patients kept normal. The number of intraoperative rupture cases was 3. When discharged from hospital, there were 385 patients with good prognosis, 39 patients with bad prognosis, and 4 death cases. Conclusions Targeted nursing method based on patients' particular situation during induction of anesthesia can effectively control patients' emotion, stabilize fluctuations in hemodynamic indexes, decrease the incidence of aneurysm rupture, improve surgery treatment effect of intracranial aneurysm clipping, decrease complications, and improve patients' prognosis.

Citation: ZhiLujun, ChengHua, GongRenrong. Nursing to Avoid Rupture of Intracranial Aneurysm during Induction of Anesthesia. West China Medical Journal, 2016, 31(6): 1097-1099. doi: 10.7507/1002-0179.201600296 Copy

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