مرکز منطقه ای اطلاع رساني علوم و فناوري - NURSING APPROACH TO PREMATURE NEWBORN WHO HAS ESOPHAGEAL ATRESIA AT POSTOPERATIVE PERIOD

Abstract :

Esophageal atresia is characterized by anatomicly absence of extending passage from pharynx to stomach as a congenital anomaly which threaten to the life. Have shown a genetic predisposition to familial property offers little together. It’s seen in an average every 3000- 4000 of live births. Reducing mortality and morbitity of esophageal atresia early diagnosis is important as surgical intervention technique and postoperative care. Cannot be swallowed salivary secretion is first symptom of disease that the foam in the form of the mouth and nose Observation in the postoperative period of infants with esophageal atresia has great significance about atelectasis, pneumonia, anastomotic leakage, development of fistula, reflux and complications such as anastomotic strictures. According to this information baby Y. who was born in University of Istanbul Medical Faculty on 30 gestational weeks of age, operated for esophageal atresia and taking care in neonatal intensive care unit (NCIU) was discussed for evaluation of postoperative nursing care and related results of initiatives. Consequently baby Y, who was treated and given nursing care at the third level neonatal intensive care unite at postoperative period, started respiration spontaneously. The relieving of pain was observed. The level of billirubin returned the normal level. The body temperature decreased from high temperature to normal body temperature. The increasing of body weight was mentioned. The turgor of skin improved. The colour of skin and mucosa returned pink and moist appearance. There wasn t any complication at the third level neonatal intensive care unit and baby Y was transferred to the second level neonatal intensive care unite by providing positive interaction between baby and mother.