Post-operative nursing bleeding management in mitral valve repair-reexploration patient during early postoperative period: A case report
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Title
Post-operative nursing bleeding management in mitral valve repair-reexploration patient during early postoperative period: A case report
Subject
early post-operative period; mitral valve annulus repair; nursing
bleeding management post cardiac surgery
bleeding management post cardiac surgery
Description
Background: One of the first targets of post-operative care for cardiac
surgery is to control bleeding. Significant bleeding can affect cardiac function
as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade.
Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has
a mortality rate of 1.2% compared to a valve replacement mortality rate of
4.5%. A quick and appropriate decision in the management of bleeding is
one of the factors determining the patient’s outcome.
Case: 59-year-old female with a medical diagnosis of mitral valve prolapse
with severe mitral regurgitation of non-significant coronary artery diseases
performed mitral valve repair surgery. This case has a score of 1 on the
Papworth scale, which means low risk of bleeding. During treatment in the
ICU, there was an increase in blood production from the chest tube of 1,670
ml within six hours post-surgery. PT APTT value was within normal range.
Bleeding management during early post-operative period was carried out,
namely conducting supporting laboratory tests, monitoring hypotension,
monitoring urine production, performing chest tube maintenance, giving
blood transfusions, fluid management and collaboration for re-exploration.
Re-exploration surgery was performed at the sixth hour of post-operative
care.
Objective: This study aims to report on nursing bleeding management in
mitral valve repair-re-exploration patient during early postoperative period.
Method: This research is qualitative research using the case study method.
Conclusion: The application of post-operative nursing bleeding management
in mitral valve repair-re-exploration patient during the early post-operative
period provides good clinical outcomes. Effective collaboration (multidisciplinary
teams) between cardiac surgeon, perfusionist, anesthetist,
clinical pharmacist, and nurse is required to prevent and manage postoperative
bleeding.
surgery is to control bleeding. Significant bleeding can affect cardiac function
as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade.
Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has
a mortality rate of 1.2% compared to a valve replacement mortality rate of
4.5%. A quick and appropriate decision in the management of bleeding is
one of the factors determining the patient’s outcome.
Case: 59-year-old female with a medical diagnosis of mitral valve prolapse
with severe mitral regurgitation of non-significant coronary artery diseases
performed mitral valve repair surgery. This case has a score of 1 on the
Papworth scale, which means low risk of bleeding. During treatment in the
ICU, there was an increase in blood production from the chest tube of 1,670
ml within six hours post-surgery. PT APTT value was within normal range.
Bleeding management during early post-operative period was carried out,
namely conducting supporting laboratory tests, monitoring hypotension,
monitoring urine production, performing chest tube maintenance, giving
blood transfusions, fluid management and collaboration for re-exploration.
Re-exploration surgery was performed at the sixth hour of post-operative
care.
Objective: This study aims to report on nursing bleeding management in
mitral valve repair-re-exploration patient during early postoperative period.
Method: This research is qualitative research using the case study method.
Conclusion: The application of post-operative nursing bleeding management
in mitral valve repair-re-exploration patient during the early post-operative
period provides good clinical outcomes. Effective collaboration (multidisciplinary
teams) between cardiac surgeon, perfusionist, anesthetist,
clinical pharmacist, and nurse is required to prevent and manage postoperative
bleeding.
Creator
Ulfah Nurrahmani* , Riani Siti Hafsah , Reza Widianto Sudjud
Source
http://jkp.fkep.unpad.ac.id/index.
php/jkp
php/jkp
Date
April 01, 2024
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Collection
Citation
Ulfah Nurrahmani* , Riani Siti Hafsah , Reza Widianto Sudjud, “Post-operative nursing bleeding management in mitral valve repair-reexploration patient during early postoperative period: A case report,” Repository Horizon University Indonesia, accessed February 11, 2026, https://repository.horizon.ac.id/items/show/10693.