COVID-19 pandemisindeki vücutdışı yaşam desteğinde uygulayıcıların hastalara destek olma teorilerinin etkinliği

Year 2021, , 107 - 112, 31.03.2021

Kevin Mccusker Chet Czaplicka Ryan Mccusker Serdar Günaydın

https://doi.org/10.18663/tjcl.880106

Abstract

Pandeminin beklnemdik şiddetiyle sarsılan hastanelerimizde vücutdışı yaşam desteği (VDYD) uygulayıcıları hastaların uzun süreli bakımlarında daha çok yer almakta ve hastalar ve aileleriyle daha yoğun iletşime girmektedir. VDYD ve ventrikül destek cihazları ileri derecede hasta olan bu grupta solunum desteği, kardiyotomi sonrası yetmezlik ve viral enfeksiyon tedavisinde ön plana çıkmaktadır. VDYD kullanımıyla ilgili olarak da pandemic döneminde uzun süreli destek özellikle erişkin hastalar için yaygınlaşmıştır. Uluslararası VDYD Derneği verilerine göre uygulama sayıları 73.000 leri geçmiştir. Sayıların bu denli artmasıyla hasta ve hasta ailesiyle olan ilişkilerin optimumda yürütülmesi de önem kazanmıştır. Sevenlerinin hasta olması veya kaybedilmesi yoğun bir hüzün ve acı oluşturmaktadır. Bu derleme VDYD uygulayıcılarının hastalara veya ailelerine yönelik destekleri üzerine geliştirilmiş teorilerin etkinliğine açıklık getirmek üzerine hazırlanmıştır.

Keywords

Vücutdışı Yaşam Desteği, Ekstrakorporeal Membran Oksijenizasyonu, Kardiyopulmoner bypass

Efficacy of theories related to extracorporeal life support specialist assisting client during the COVID-19 pandemic

Abstract

As the wave of respiratory and cardiac failure due to an unprecedented pandemic hits our medical centers, extracorporeal life support (ECLS) specialists have become more involved with long term intensive care; our relationship to patient care has been altered. ECLS and Ventricular Assist Devices (VAD) have become essential tools in the care of critically ill patients with respiratory failure, post-cardiotomy failure, and viral infection. During this unprecedented pandemic, there have been many advancements and rapid growth towards options of long term mechanical cardiopulmonary support, especially in the adult patient population. ECLS cases reported to the International Extracorporeal Life Support Organization registry, showing >73,000 patients. With the growth of this patient population and the changing “ECLS specialist-Patient” family relationship, it is essential to explore handling the grief of the patients. Individuals dealing with pain demonstrate a variety of reactions as they adjust to a life without a loved one. This review examines the efficacy of theories related to ECLS specialists, assisting a client, and families grieving the loss of a significant person in their life.

Keywords

Extracorporeal Life Support, Extracporporeal Membrane Oxygenation, Cardiopulmonary bypass

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