Nursing care of General Anesthesia in patient with Laparoscopy Cholecystectomy: 2 Cases studies

Abstract

     This study was comparative study of two patients who undertotal anesthesia in laparoscopic gallstone surgery admitted to Pol Hospital, Khon Kaen Province in July 2024. In patients who under total anesthesia in laparoscopic gallstone surgery, using the conceptual framework of the 5-step nursing process in the health assessment stage, data were collected and analyzed according to Gordon's 11 health patterns to compare health status data. ursing diagnosis in the pre-anesthesia stage During the anesthesia and anesthesia phase.

     The results of the study showed that both patients were diagnosed with gallstones and were treated by laparoscopic surgery, but the first patient had inflammation of the gallbladder. He was obese, and according to the evaluation by physical examination, it was found that he had difficulty intubating. Case study 1 found 13 nursing diagnoses, case study 2 found 10 follow-up visits to patients before surgery, care during surgery, and follow-up visits after surgery and anesthesia. Coordinate with ward nurses in transmitting surgical and anesthesia information. Jointly plan nursing to prevent risks and alleviate various disturbances of patients, including concerns about surgery and anesthesia. Risk of intubation and anesthesia Discomfort from the pain of the surgical wound, both patients were cared for until their symptoms subsided. The doctor decided discharge, Length of hospital stay Case 1 is 4 days, Case 2 is 2 days, due to case 1 has severe symptoms and is more risky than the length of hospital stay, so the length of hospital stay is longer.