Nursing management of incisions after delayed sternal closure for neonatal congenital heart disease surgery / 现代临床护理

ABSTRACT

Objective To review our management of chest incision after delayed sternal closure for complex congenital heart defect surgery in neonatal patients and to evaluate the outcomes of the individualized nursing strategies. Methods According to the classification of chest incision, individualized strategies were applied in 112 neonates who underwent subsequent delayed sternal closure.Before the chest closure,Huihanshutai (a kind of biomedical colloid dispersant with content of silver ions)was used to address the incision in case of no wound infection,and in case of infections,URGOSORB was used.After delayed sternal closure,silver ion was used to cover a healthy wound.Wound drainage combined with Huihanshutai was required in the wound with mild inflammation.If there was a severely-infected wound,we kept the principle of wound wet healing. Result There was no death or bacteremia owing to the wound infection in this cohort of patients(n=112). Conclusions Individualized nursing management of the wound after delayed sternal closure based on the classification of wound and principle of wound wet healing can achieve acceptable outcomes.Appropriate adoption of silver ions and URGOSORB is crucial to improve the wound healing and protect the wounds from infection.