Document Type : Research articles
Authors
Special Department of Vascular Anomalies, Linyi Tumor Hospital, Linyi, Shandong, China
Abstract
Background: Post-treatment nursing care is essential for patients with venous malformations (VMs) after they have undergone treatment. Effective post-treatment nursing care requires adequate resources, effective communication, patient compliance, and addressing psychological distress. However, the clinical care plan for VMs in the pharyngeal isthmus is not clear.
Objectives: The present study aims to explore the clinical nursing strategy after the treatment of VMs in the pharynx area.
Methods: In this study, the patients with VM in the pharynx region who received anhydrous ethanol sclerosis injection and/or surgical treatment in our Hospital from January 2013 to November 2018 were recruited. A total of 143 patients who had completed medical records were included in this prospective cohort study. The patients' post-operative vital signs were closely observed, the respiratory tract was maintained, the oral cavity was cleaned, and the nursing care of indwelling endotracheal intubation or tracheotomy was performed. After the clinical follow-ups of one to five years, long-term efficacy was also observed. We summarized their nursing care treatments.
Results: The results showed that there were 0 patients rated as grade I, 3 patients rated as grade II, 17 patients rated as grade III, and 123 patients rated as grade IV after long-term efficacy.
Conclusion: Appropriate anhydrous ethanol sclerotherapy can be selected for patients with pharyngeal venous malformation, and this method combined with the clinical nursing strategy after treatment concluded in this study can effectively reduce the volume of VM, with fewer side effects, and can effectively improve breathing, swallowing, and vocal function.
Keywords
- Kamijo A, Hatsushika K, Kanemaru S, Moriyama M, Kase Y, Masuyama K. Five adult laryngeal venous malformation cases treated effectively with sclerotherapy. Laryngoscope. 2013;123(11):2766-2769. doi: 10.1002/lary.24095. [PubMed: 23553378].
- Lee BB. Venous malformation and haemangioma: differential diagnosis, diagnosis, natural history and consequences. Phlebology. 2013;1:176-87. doi: 10.1177/0268355513475960. [PubMed: 23482556].
- Anderson P, Fels S, Stavness I, Pearson WG Jr, Gick B. Intravelar and extravelar portions of soft palate muscles in velic constrictions: A three-dimensional modeling study. J Speech Lang Hear Res. 2019;62(4):802-14. doi: 10.1044/2018_JSLHR-S-17-0247. [PubMed: 30964714].
- Cockle-Hearne J, Charnay-Sonnek F, Denis L, Fairbanks HE, Kelly D, Kav S, et al. The impact of supportive nursing care on the needs of men with prostate cancer: a study across seven European countries. Br J Cancer. 2013;109(8):2121-30. doi: 10.1038/bjc.2013.568. [PubMed: 24064968].
- Lee BB, Baumgartner I, Berlien P, Bianchini G, Burrows P, Gloviczki P, et al. Diagnosis and treatment of venous malformations. consensus document of the international union of phlebology (IUP): updated 2013. Int Angiol. 2015;34(2):97-149. [PubMed: 24566499].
- Gregory S, Burrows PE, Ellinas H, Stadler M, Chun RH. Combined Nd:YAG laser and bleomycin sclerotherapy under the same anesthesia for cervicofacial venous malformations: A safe and effective treatment option. Int J Pediatr Otorhinolaryngol. 2018;108:30-34. doi: 10.1016/j.ijporl.2018.02.005. [PubMed: 29605361].
- Leung AKC, Lam JM, Leong KF, Hon KL. Infantile hemangioma: An updated review. Curr Pediatr Rev. 2021;17(1):55-69. doi: 10.2174/1573396316666200508100038. [PubMed: 32384034].
- Kamel Escalante MC, Abdennour A, Farah A, Rivera-Richardson E, Burgos F, Forero I, et al. Prescription patterns of analgesics, antipyretics, and non-steroidal anti-inflammatory drugs for the management of fever and pain in pediatric patients: a cross-sectional, multicenter study in Latin America, Africa, and the Middle East. Pragmat Obs Res. 2019;10:41-51. doi: 10.2147/POR.S168140. [PubMed: 31616200].
- Parolini M. Toxicity of the Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) acetylsalicylic acid, paracetamol,
- diclofenac, ibuprofen and naproxen towards freshwater invertebrates: A review. Sci Total Environ. 2020;740:140043. doi: 10.1016/j.scitotenv.2020.140043. [PubMed: 32559537].
- Gunaydin C, Bilge SS. Effects of nonsteroidal anti-inflammatory drugs at the molecular level. Eurasian J Med. 2018;50(2):116-21. doi: 10.5152/eurasianjmed.2018.0010. [PubMed: 30002579].
- Velts NY, Bukatina TM, Zhuravleva EO, Kutekhova GV, Darmostukova MA, Olefir YV, et al. On the issue of safety of non-steroidal anti-inflammatory drugs. Pharmacotherapy. 2018;6(3):123-9. doi: 10.30895/2312-7821-2018-6-3-123-129.
- Alp Ç, Doğru MT, Demir V. Heart rate turbulence measurements in patients with dipper and non-dipper hypertension: the effects of autonomic functions. Turk J Med Sci. 2021;51(6):3030-7. doi: 10.3906/sag-2105-177. [PubMed: 34590797].
- Harper KW, Bali IM, Gibson FM, Carlisle R, Black IH, Grainger DJ, et al. Reversal of neuromuscular block. Heart rate changes with slow injection of neostigmine and atropine mixtures. Anaesthesia. 2010;39(8):772-5. doi: 10.1111/j.1365-2044.1984.tb06521.x. [PubMed: 6476313].
- Blesius V, Schölzel C, Ernst G, Dominik A. Comparability of heart rate turbulence methodology: 15 intervals suffice to calculate turbulence slope - a methodological analysis using PhysioNet Data of 1074 Patients. Front Cardiovasc Med. 2022;9:793535. doi: 10.3389/fcvm.2022.793535. [PubMed: 35463773].
- Veerreddy P. Hemoglobinuria misidentified as hematuria: review of discolored urine and paroxysmal nocturnal hemoglobinuria. Clin Med Insights Blood Disord. 2013;6:7-17. doi: 10.4137/CMBD.S11517. [PubMed: 25512715].
- Krag M, Marker S, Perner A, Wetterslev J, Wise MP, Schefold JC, et al. Pantoprazole in Patients at Risk for gastrointestinal bleeding in the ICU. N Engl J Med. 2018;379(23):2199-208. doi: 10.1056/NEJMoa1714919. [PubMed: 30354950].
- Ekblad EBM. Omeprazole: inhibitor of both acid formation
- and translocation in gastric mucosa. Acta Physiologica. 2010;137(2):223-30. doi: 10.1111/j.1748-1716.1989.tb08742.x. [PubMed: 2618761].
- Nakshabendi IM, Zhang QB, Mokhashi M, Gemmell CG, Lee FD, Russell RI. Effect of omeprazole therapy on the survival of Helicobacter pylori, urease activity, and antral gastric histology in patients with duodenal ulcer. Helicobacter. 2010;1(3):155-8. doi: 10.1111/j.1523-5378.1996.tb00030.x. [PubMed: 9398897].
- Pandolfini M, Di Stadio A, Brenner MJ, Pichi B, Pellini R, McGrath B, et al. Airway obstruction from tracheostomy balloon cuff herniation during oral cancer removal. Emergency successfully managed and lessons learnt from device malfunction. Oral Oncol. 2021;113:105048. doi: 10.1016/j.oraloncology.2020.105048. [PubMed: 33132056].
- Karamchandani K, Wheelwright J, Yang AL, Westphal ND, Khanna AK, Myatra SN. Emergency airway management outside the operating room: current evidence and management strategies. Anesth Analg. 2021;133(3):648-62. doi: 10.1213/ANE.0000000000005644. [PubMed: 34153007].
- Beshey BN, Helmy TA, Asaad HS, Ibrahim EE. Emergency percutaneous tracheotomy in failed intubation. Egypt J Chest Dis Tuberc. 2014;63(4):939-45.
- Qadri MS, Shafi OM. Tracheotomy revisited: results of a cross-sectional pilot study. Int J Otorhinolaryngol Head Neck Surg. 2018;4(4):961.
- Li J, Li R, Li Z. Effectiveness and safety of sclerotherapy for head and neck venous malformations: a meta-analysis. J Craniofac Surg. 2017;28(1):9-16.
- Chen Y, Li J, Li Y, Li L, Li S, Fan X. Diagnosis and management of pharyngeal venous malformations: a report of 70 cases. Int J Clin Exp Med. 2019;12(5):5803-11.
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