Cardiac Transplantation: A Review for Critical Care Nurses

Advances in immunology, immunosuppressive therapy, and preservation techniques have contributed to making cardiac transplantation an accepted therpay for end-stage heart discase. One-year survival rates now exceed 90% at some transplant centers. coronary artery disease, and malignancies, continue to...

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Bibliographic Details
Published in:Journal of intensive care medicine 1994-09, Vol.9 (5), p.211-226
Main Authors: Ohler, Linda, Morris, Kay Hoopes, McCauley, Mary F., Disanto, Patricia
Format: Article
Language:eng
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Summary:Advances in immunology, immunosuppressive therapy, and preservation techniques have contributed to making cardiac transplantation an accepted therpay for end-stage heart discase. One-year survival rates now exceed 90% at some transplant centers. coronary artery disease, and malignancies, continue to plague long-term survival rates in this infection and rejection requires the special experitise of experienced cardiologists and immunologists. An improved understanding of the immune system promises to increase long-term survival rates of cardiac transplant recipients. Critical care nurses require special assessment skill to meet the demanding challenges of cardiac transplant recipients in the immediate postoperative period. The impact of cardiac denervation, immunosupression, and the risk for acute rejection add a different perspective for nursing interventions in the critical care environment. With mortality rates remaining at 8 to 10% for the first month following cardiac transplanation, the skill of critical care nurses is crucial to decreasing morbidity and increasing survival during the acute perioperative period.
ISSN:0885-0666
1525-1489