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Ablación del ganglio estrellado en paciente con tormenta arrítmica. Caso clínico.

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Title: Ablación del ganglio estrellado en paciente con tormenta arrítmica. Caso clínico.
Alternate Title: ABLATION OF THE STELLATE GANGLION IN A PATIENT WITH AN ARRHYTHMIC STORM. CLINICAL CASE.
Authors: Ceballos Gandarillas, Eva1 eva.ecg.ec@gmail.com, Pérez Loza, Isabel1,2
Source: Enfermería en Cardiologia. 2023, Vol. 30 Issue 88/89, p74-79. 6p.
Subjects: PNEUMONIA diagnosis, ATRIAL fibrillation treatment, DIAGNOSIS of endocarditis, MENINGITIS diagnosis, GANGLIA, MYOCARDIAL depressants, SYMPATHOLYTIC agents, ARTIFICIAL blood circulation, NURSING, INTENSIVE care nursing, GENERAL anesthesia, CATHETER ablation, IMPLANTABLE cardioverter-defibrillators, NANDA International, CORONARY care units, MEDICAL protocols, VENTRICULAR tachycardia, ADRENERGIC beta blockers, VENTRICULAR arrhythmia, CRITICAL care medicine, HEALTH care teams, COMMUNICATION, HEMODYNAMICS, NEEDS assessment, ARRHYTHMIA, GANGLIONIC blocking agents, ABLATION techniques, NURSING interventions, NURSING diagnosis, LOCAL anesthetics
Abstract (English): Arrhythmic storms are defined as the existence of at least three episodes of sustained ventricular arrhythmia within a 24-hour period. This clinical presentation form of these arrhythmias is associated with increased patient mortality. For the formation of these storms, apart from the necessary arrhythmic substrate, the sympathetic system plays a very important role in their development. The treatment of recurrent ventricular tachycardias includes a variety of antiarrhythmic drugs, sympathetic blockade with betablockers, general anesthesia, different methods of circulatory support systems, overstimulation in patients with an implantable cardioverter defibrillator, and even urgent catheter ablation in specific cases. Percutaneous stellate ganglion block with local anesthetics is effective in the acute setting, however, its effect is temporary. We present the clinical case of a 62-year-old man admitted to a Cardiac Critical Care Unit with great hemodynamic instability who underwent stellate ganglion ablation as an effective treatment for the arrhythmic storm they presented. Given the severity of the case, it was deemed appropriate to establish a care plan based on Carpenito's bifocal model to solve the real and potential health needs of a patient diagnosed with Austrian Syndrome. This was based on the North American Nursing Diagnosis Association taxonomy, as well as on the Nursing Outcomes Classification and Nursing Interventions Classification to define objectives and nursing interventions, respectively. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Las tormentas arrítmicas se definen como la existencia de, al menos, tres episodios de arritmia ventricular sostenida en un periodo de 24 horas. Esta forma clínica de presentación de dichas arritmias está asociada a un incremento de la mortalidad de los pacientes. Para la formación de dichas tormentas, aparte del sustrato arrítmico necesario, el sistema simpático juega un papel muy importante en el desarrollo de éstas. El tratamiento de las taquicardias ventriculares recurrentes incluye fármacos antiarrítmicos variados, bloqueo simpático con betabloqueantes, anestesia general, distintos métodos de sistemas de soporte circulatorio, sobreestimulación en pacientes portadores de desfibrilador automático implantable e incluso ablación urgente con catéter en casos concretos. El bloqueo del ganglio estrellado percutáneo con anestésicos locales es efectivo en el momento agudo, pero su efecto es temporal. Se presenta el caso clínico de un varón de 62 años que ingresó en una Unidad de Cuidados Críticos Cardiológicos con gran inestabilidad hemodinámica al que se le practicó la ablación del ganglio estrellado como tratamiento eficaz de la tormenta arrítmica que presentaba. Dada la gravedad del caso, está justificado establecer un plan de cuidados basado en el modelo bifocal de Carpenito para resolver las necesidades de salud reales y potenciales en un paciente diagnosticado de Síndrome de Austrian, apoyándonos en la taxonomía North American Nursing Diagnosis Association, así como en la Nursing Outcomes Classification y Nursing Interventions Classification para delimitar objetivos e intervenciones enfermeras, respectivamente. [ABSTRACT FROM AUTHOR]
Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: MedicLatina
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  Data: Ablación del ganglio estrellado en paciente con tormenta arrítmica. Caso clínico.
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  Data: ABLATION OF THE STELLATE GANGLION IN A PATIENT WITH AN ARRHYTHMIC STORM. CLINICAL CASE.
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  Data: <searchLink fieldCode="JN" term="%22Enfermería+en+Cardiologia%22">Enfermería en Cardiologia</searchLink>. 2023, Vol. 30 Issue 88/89, p74-79. 6p.
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– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: Arrhythmic storms are defined as the existence of at least three episodes of sustained ventricular arrhythmia within a 24-hour period. This clinical presentation form of these arrhythmias is associated with increased patient mortality. For the formation of these storms, apart from the necessary arrhythmic substrate, the sympathetic system plays a very important role in their development. The treatment of recurrent ventricular tachycardias includes a variety of antiarrhythmic drugs, sympathetic blockade with betablockers, general anesthesia, different methods of circulatory support systems, overstimulation in patients with an implantable cardioverter defibrillator, and even urgent catheter ablation in specific cases. Percutaneous stellate ganglion block with local anesthetics is effective in the acute setting, however, its effect is temporary. We present the clinical case of a 62-year-old man admitted to a Cardiac Critical Care Unit with great hemodynamic instability who underwent stellate ganglion ablation as an effective treatment for the arrhythmic storm they presented. Given the severity of the case, it was deemed appropriate to establish a care plan based on Carpenito's bifocal model to solve the real and potential health needs of a patient diagnosed with Austrian Syndrome. This was based on the North American Nursing Diagnosis Association taxonomy, as well as on the Nursing Outcomes Classification and Nursing Interventions Classification to define objectives and nursing interventions, respectively. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Las tormentas arrítmicas se definen como la existencia de, al menos, tres episodios de arritmia ventricular sostenida en un periodo de 24 horas. Esta forma clínica de presentación de dichas arritmias está asociada a un incremento de la mortalidad de los pacientes. Para la formación de dichas tormentas, aparte del sustrato arrítmico necesario, el sistema simpático juega un papel muy importante en el desarrollo de éstas. El tratamiento de las taquicardias ventriculares recurrentes incluye fármacos antiarrítmicos variados, bloqueo simpático con betabloqueantes, anestesia general, distintos métodos de sistemas de soporte circulatorio, sobreestimulación en pacientes portadores de desfibrilador automático implantable e incluso ablación urgente con catéter en casos concretos. El bloqueo del ganglio estrellado percutáneo con anestésicos locales es efectivo en el momento agudo, pero su efecto es temporal. Se presenta el caso clínico de un varón de 62 años que ingresó en una Unidad de Cuidados Críticos Cardiológicos con gran inestabilidad hemodinámica al que se le practicó la ablación del ganglio estrellado como tratamiento eficaz de la tormenta arrítmica que presentaba. Dada la gravedad del caso, está justificado establecer un plan de cuidados basado en el modelo bifocal de Carpenito para resolver las necesidades de salud reales y potenciales en un paciente diagnosticado de Síndrome de Austrian, apoyándonos en la taxonomía North American Nursing Diagnosis Association, así como en la Nursing Outcomes Classification y Nursing Interventions Classification para delimitar objetivos e intervenciones enfermeras, respectivamente. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Enfermería en Cardiologia is the property of Asociacion Espanola de Enfermeria en Cardiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=174732695
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.59322/8889.7479.ZK2
    Languages:
      – Code: spa
        Text: Spanish
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        PageCount: 6
        StartPage: 74
    Subjects:
      – SubjectFull: PNEUMONIA diagnosis
        Type: general
      – SubjectFull: ATRIAL fibrillation treatment
        Type: general
      – SubjectFull: DIAGNOSIS of endocarditis
        Type: general
      – SubjectFull: MENINGITIS diagnosis
        Type: general
      – SubjectFull: GANGLIA
        Type: general
      – SubjectFull: MYOCARDIAL depressants
        Type: general
      – SubjectFull: SYMPATHOLYTIC agents
        Type: general
      – SubjectFull: ARTIFICIAL blood circulation
        Type: general
      – SubjectFull: NURSING
        Type: general
      – SubjectFull: INTENSIVE care nursing
        Type: general
      – SubjectFull: GENERAL anesthesia
        Type: general
      – SubjectFull: CATHETER ablation
        Type: general
      – SubjectFull: IMPLANTABLE cardioverter-defibrillators
        Type: general
      – SubjectFull: NANDA International
        Type: general
      – SubjectFull: CORONARY care units
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      – SubjectFull: MEDICAL protocols
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        Type: general
      – SubjectFull: ADRENERGIC beta blockers
        Type: general
      – SubjectFull: VENTRICULAR arrhythmia
        Type: general
      – SubjectFull: CRITICAL care medicine
        Type: general
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      – SubjectFull: COMMUNICATION
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      – SubjectFull: HEMODYNAMICS
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      – SubjectFull: NEEDS assessment
        Type: general
      – SubjectFull: ARRHYTHMIA
        Type: general
      – SubjectFull: GANGLIONIC blocking agents
        Type: general
      – SubjectFull: ABLATION techniques
        Type: general
      – SubjectFull: NURSING interventions
        Type: general
      – SubjectFull: NURSING diagnosis
        Type: general
      – SubjectFull: LOCAL anesthetics
        Type: general
    Titles:
      – TitleFull: Ablación del ganglio estrellado en paciente con tormenta arrítmica. Caso clínico.
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              Text: 2023
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