Nursing Student Class Projects (Formerly MSN)

Academic Term

Summer 7-29-2022

Document Type

Project

Course Number

NURS 6810-01

Course Name

Advanced Pathophysiology for the Advanced Practice Nurse

Professor’s Name

Dr. Deana Batross & Dr. Shivani Bhatnagar

Keywords

Aortic Stenosis, Severe Aortic Stenosis, Anesthesia, Left Ventricular Hypertrophy, Hemodynamic Stability, IV induction

Subject Categories

Medicine and Health Sciences | Nursing | Perioperative, Operating Room and Surgical Nursing

Abstract

Aortic Stenosis places surgical patients at greater risk for adverse events during surgery. Due to the pathological process of Aortic Stenosis, the left ventricle must generate high systolic pressures to ensure adequate cardiac output. These increased pressures result in left ventricular hypertrophy, placing the patient at greater risk for myocardial ischemia. For induction of anesthesia, it is imperative to maintain hemodynamic stability as this is where problems arise. Five research articles were reviewed to determine how to administer anesthesia to these patients safely. Additional sources were gathered for a background on the pathophysiology of aortic stenosis. The research articles reviewed had different viewpoints on managing these patients. The research provided one common theme: maintaining hemodynamic stability during induction and surgery led to decreased incidences of adverse events. Using evidence-based practice guidelines, anesthesia can be safely administered to patients with aortic stenosis.

Licensing Permission

Copyright, all rights reserved. Fair Use

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