Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
Incurable disease process causing insufficiency of the lymphatic system
Key parts of the definition:
Transudate: consists of electrolytes and water which are small molecular substances that readily diffuse back into venous system
AKA - LOW protein edema
Case Presentation
Two Types of Lymphedema
Delayed Sternal Closure
Patient:
WH, born at 38 6/7
Surgical Repair:
Complete repair with PFO creation
Assessment:
Initial and Post-op
Goals of treatment:
Similar, however post include edema management and post-op teaching
Compression:
Congenital Heart Disease has an estimate prevalence of 4 to 50 per 100 live births with more than 2 million American living with a congenital heart defect
Open Sternotomy and delayed sternal closure is a supergical technique that has been used in children for the past 30 years
Treatment Strategies with WH
Everyday Practice Takeaways
Because we are involving very small molecule, re-absorption works by gradient pressure changes
Pye S, McDonnell M. Nursing considerations for children undergoing delayed sternal closure after surgery for congenital heart disease. Crit Care Nurse. 2010 Jun;30(3):50-62; quiz 63. doi: 10.4037/ccn2010712. PMID: 20515883.
Nicholson GT, Clabby ML, Mahle WT. Is there a benefit to postoperative fluid restriction following infant surgery? Congenit Heart Dis. 2014 Nov-Dec;9(6):529-35. doi: 10.1111/chd.12165. Epub 2014 Jan 21. PMID: 24444098.
Hurtado-Sierra D, Calderón-Colmenero J, Curi-Curi P, Cervantes-Salazar J, Sandoval JP, García-Montes JA, Benita-Bordes A, Ramírez-Marroquin S. Outcomes of Delayed Sternal Closure in Pediatric Heart Surgery: Single-Center Experience. Biomed Res Int. 2018 Apr 19;2018:3742362. doi: 10.1155/2018/3742362. PMID: 29850507; PMCID: PMC5933025.
Tabbutt S, Duncan BW, McLaughlin D, Wessel DL, Jonas RA, Laussen PC. Delayed sternal closure after cardiac operations in a pediatric population. J Thorac Cardiovasc Surg. 1997 May;113(5):886-93. doi: 10.1016/S0022-5223(97)70261-7. PMID: 9159622.
When can we use lymphedema strategies to help with Acute Venous Edema?
Lymphatic drainage treatment is NOT 1st treatment choice by can certainly add to treatment
Lower Extremity Pump Points
Strategies with all patients
Upper Extremity Pump Points