Nursing Care of a Patient Receiving General Anesthesia for Aneurysm Clipping in Sawanpracharuk Hospital: A Case Report

Abstract

          This case report aimed to explore the problems of a patient with cerebrovascular aneurysm undergoing craniotomy with aneurysm clipping under general anesthesia and to study the nursing care guideline effectiveness. The case study was 51 years old female patient who had a right craniotomy with aneurysm clipping under general anesthesia. There were three phases of anesthetic nursing care, including pre-and post-anesthetic phases. Regarding the pre-anesthetic phase, the problems were 1) the patient was at high risk of surgery and anesthesia complications., and 2) the patient was anxious. During the anesthetic period, the problems were 1) risk of cerebral hypoxia, 2) risk of hypovolemic shock, 3) risk of nerve injury, 4) risk of light anesthesia and consciousness during surgery, and 5) risk of hypothermia. Post-anesthetic stage, the problems were 1)  a patient could not wean the ventilator due to prolonged surgery, and 2) a patient had electrolyte imbalance. The patient was hospitalized for 14 days and discharged with an improved condition with two weeks follow-up. According to the case study, the anesthetic nursing care guideline for a cerebrovascular aneurysm patient undergoing surgical treatment was effective. Nurses could provide good anesthetic nursing care in all caring phases.

Keywords: Cerebrovascular aneurysm, Anesthetic nursing care, Craniotomy, Cerebrovascular aneurysm clipping